Anderson, Tracey

Anderson, Tracey is an individual health care provider with primary practice located at 25150 Hancock Ave Ste 210 , Murrieta CA 92562-5989. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Anderson, Tracey can be contacted via phone (951) 587-3739.

Contact Information

Primary practice address
25150 Hancock Ave Ste 210 Murrieta CA 92562-5989
Phone: (951) 587-3739
Fax: (951) 698-5213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95012750 California
Physician Assistants & Advanced Practice Nursing Providers / Neuroscience 364SN0800X 95012750 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95012750 California

Profile Details

NPI number 1841303054
LBN Legal business name Anderson, Tracey
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Oct 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841303054 NPPES
Colorado MEDICAID 25073567

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