Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracey Michelle Watler

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083286116

Tracey Michelle Watler is a Student in an Organized Health Care Education/Training Program in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

82 Arlo Rd Apt 1B
Staten Island, NY 10301-3879
Phone: (347) 885-3004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 1862311 (NY)

Record details

NPI number1083286116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 16, 2021
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

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