TRACIE A LARUE NP

HARTFORD HEALTHCARE MEDICAL GROUP INC

Dr TRACIE A LARUE NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2002.

Contact

HARTFORD HEALTHCARE MEDICAL GROUP INC

1559 SULLIVAN AVE
SOUTH WINDSOR
CT
060742712

Tel: 8606962350

TRACIE A LARUE NP Information

Npi 1477695849
Pac Id 4880618529
Professional Enrollment Id I20060120000097
Last Name LARUE
First Name TRACIE
Middle Name A
Suffix
Gender F
Credential NP
Medical School Name OTHER
Graduation Year 2002
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HARTFORD HEALTHCARE MEDICAL GROUP INC
Group Practice Pac Id 1153573902
Number Of Group Practice Members 540
Line 1 Street Address 1559 SULLIVAN AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SOUTH WINDSOR
State CT
Zip Code 060742712
Phone Number 8606962350
Hospital Affiliation Ccn 1 070017
Hospital Affiliation Lbn 1 MIDSTATE MEDICAL CENTER
Hospital Affiliation Ccn 2 070025
Hospital Affiliation Lbn 2 HARTFORD HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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