Tracy R Braithwaite

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477366805

Tracy R Braithwaite is a Student in an Organized Health Care Education/Training Program in Moroni, Utah. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since: 2025

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 524
Moroni, UT 84646-0524
Phone: (435) 851-3459

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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

Record details

NPI number	1477366805
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	January 29, 2025
Last updated in NPPES	January 29, 2025
Certification date	January 29, 2025
Mailing address	Po Box 524, Moroni, UT 84646-0524