Tracie Naillieux

NPI 1194688440 · on the registry since 2025 · sole proprietor

Practice

Address: 3575 Moreau Ct Ste 200
South Bend, IN 46628
Phone: (219) 248-3666
Fax: (219) 764-8403
Organisation at this address: Dungarvin Indiana, Llc
Laboratory Corporation Of America
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Registered Nurse
163W00000X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana