Individual provider · Type 1 NPI
Tracy Elizabeth Mansour, NURSE PRACTITIONER
Family Nurse Practitioner · Mattapan, MA
NPI number
1942996996
Active
Practice location
87 W Selden St
Mattapan, MA 02126-2346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 264410 (MA) |
| Family Nurse Practitioner Primary | 363LF0000X | 264410 (MA) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Mattapan
About NPI 1942996996
Tracy Elizabeth Mansour, NURSE PRACTITIONER's National Provider Identifier is 1942996996, issued on Apr 13, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mattapan, MA. The record was last updated on May 13, 2025.