Anderson, Tracy Ann
Anderson, Tracy Ann is an sole proprietor health care provider with primary practice located at 12450 Van Nuys Blvd , Pacoima CA 91331-1391. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Anderson, Tracy Ann can be contacted via phone (818) 896-1161.Contact Information
Primary practice address
12450 Van Nuys Blvd
Pacoima CA 91331-1391
Phone: (818) 896-1161
Fax: (818) 896-1462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1609906486 |
|---|---|
| LBN Legal business name | Anderson, Tracy Ann |
| Credentials | Licensed Visiting Nurse (LVN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609906486 | NPPES |
| California | MEDICAID | 7420 | |
| California | MEDICAID | 7068 |
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