National Provider Identifier
Katherine Marie Tracy, LPN
Katherine Marie Tracy, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Brockport, NY and a listed phone number of (585) 754-5265.
Profile Overview
- NPI
- 1982946695
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 20, 2013
- Last Updated
- March 20, 2013
Practice Location
- 419 Burch Farm Dr
- Brockport, NY 14420-9354
Phone: (585) 754-5265
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1982946695
- Entity Type
- Individual
- Last Name
- Tracy
- First Name
- Katherine
- Middle Name
- Marie
- Credential
- LPN
- Mailing Street Address
- 419 Burch Farm Dr
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-9354
- Mailing Country
- US
- Mailing Phone
- (585) 754-5265
- Practice Street Address
- 419 Burch Farm Dr
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-9354
- Practice Country
- US
- Practice Phone
- (585) 754-5265
- Enumeration Date
- March 20, 2013
- Last Updated
- March 20, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)