| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TRACEY LHERISSON | 1639768138 | 2022-08-07 |
Tracey Lherisson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1639768138. Registration indicates Tracey Lherisson is a provider of access to ob/gyn services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Womens Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Womens Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Mrs. Tracey Lherisson WHNP-BC |
| Practice Office Address | 522 3RD ST BROOKLYN, NY US |
| Practice Office Telephone | 7187688500 |
| Practice Office Fax | 7188322523 |
| Mailing Address | 522 3RD ST BROOKLYN, NY 112153003 US |
| Business Telephone | 7187688500 |
| Business Fax | 7188322523 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 464 77th St | Brooklyn, NY 112093206 | 7186808383 / 7188362063 |
| Code | Practice | License No State |
|---|---|---|
| 363LW0102X PRIMARY | Access to OB/GYN Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Womens Health All Other Specialties & Provider Types Nurse Practitioner Womens Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | F421049-01
NY |
| 193400000X SING | Group Code |