Tracie Larue is a Family in East Hartford, Connecticut. Tracie Larue practices all healthcare services and medical treatments related to Family. The NPI Number for Tracie Larue is 1477695849. The last update date is 2011-10-27.
Tracie Larue's current location address is 265 Ellington Rd, East Hartford, Connecticut. You can contact this provider via phone number 8605698800 and fax number 8602912788. The mailing address for Tracie Larue is 265 Ellington Rd, East Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracie Larue |
|---|---|
| Address | 265 Ellington Rd, East Hartford, Connecticut |
| Phone Number | 8605698800 |
| Fax Number | 8602912788 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1477695849 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2011-10-27 |
Provider Mailing Address Detail
| Address | 265 Ellington Rd |
|---|---|
| City | East Hartford |
| State | Connecticut (CT) |
| Post Code | 61081176 |
| Phone Number | 8605698800 |
| Fax Number | 8602912788 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | E57063 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1477695849 | NPI |
Post Comment/ Review Below
What is the Tracie Larue's unique identification number?
The Tracie Larue has been assigned the NPI (National Provider Identifier) Number 1477695849 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Tracie Larue's physical address?
The Tracie Larue is physically located at 265 Ellington Rd, in the city of East Hartford, CT, with the postal code 61081176.
What is the Tracie Larue's specialty and taxonomy code?
The Tracie Larue's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477695849 to Tracie Larue?
The Tracie Larue received its 1477695849 assignment from the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date was the information pertaining to Tracie Larue, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tracie Larue, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-10-27.