Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TRACY WHITE ETHRIDGE, RN-BC, CNS, LPC
ActiveMRS. TRACY WHITE ETHRIDGE, RN-BC, CNS, LPC is a Psychiatric/Mental Health, Community CNS healthcare provider located in ROCKY MOUNT, North Carolina. NPI 1972722668 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · ROCKY MOUNT, NC
Registration Details
- NPI Number
- 1972722668
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2007 (19.3511125862 yrs)
- Last Updated
- Mar 2, 2016
- Licenses
-
4902 (NC)131546 (NC)
Practice Information
- Address
-
2301 MEDPARK DRROCKY MOUNT, NC, 278042288Browse NC providers · Browse ZIP 27804
- Phone
- 2529625000
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
- Additional Specialty
- Psychiatric/Mental Health, Community CNS
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.