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Contact Information

TRACEE TABARES, FNP
100 S MARKET ST
FREDERICK, MD21701-5527
 Phone: 301-600-1506
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for TRACEE TABARES · (Female)

NPI # 1033732995
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 05/26/2020
Last updated 06/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MD License # AC003567
  • VA License # 0001271471
  • VA License # 0024180389
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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