Provider Demographics
NPI:1871827188
Name:MARKWELL, TRACY L (CNP)
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:L
Last Name:MARKWELL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
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Mailing Address - Street 1:50 STANIFORD ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2517
Mailing Address - Country:US
Mailing Address - Phone:617-726-3558
Mailing Address - Fax:617-724-8067
Practice Address - Street 1:50 STANIFORD ST
Practice Address - Street 2:SUITE 300
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2517
Practice Address - Country:US
Practice Address - Phone:617-726-3558
Practice Address - Fax:617-724-8067
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2017-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA233552363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner