Mrs. TRACY MARIE TETRAULT TANNER APRN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1992305585- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN
- Status
- Active
Contact & Location
- Address
- 188 NH 101, BEDFORD, NH, 031105451
- Phone
- (603) 663-8052
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
License: NH #04006521
Nurse Practitioner, Family
Primary License: NH #040065-23