Dr TRACEY ELIZALDE NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 1997.
SOUTH MOUNTAIN COMMUNITY HEALTH LLC
9 SAINT PAUL ST
SUITE 3
BOONSBORO
MD
217131334
Tel: 3014326897
| Npi | 1538120373 |
| Pac Id | 5698732378 |
| Professional Enrollment Id | I20041214000829 |
| Last Name | ELIZALDE |
| First Name | TRACEY |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | NP |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
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| Secondary Specialty 2 | |
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| Organization Legal Name | SOUTH MOUNTAIN COMMUNITY HEALTH LLC |
| Group Practice Pac Id | 6709843485 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 9 SAINT PAUL ST |
| Line 2 Street Address | SUITE 3 |
| Marker Of Address Line 2 Suppression | |
| City | BOONSBORO |
| State | MD |
| Zip Code | 217131334 |
| Phone Number | 3014326897 |
| Hospital Affiliation Ccn 1 | 210005 |
| Hospital Affiliation Lbn 1 | FREDERICK MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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