Tilley, Tracy

Tilley, Tracy is an individual health care provider with primary practice located at 1325 E Church St Ste 301 , Santa Maria CA 93454. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tilley, Tracy can be contacted via phone (805) 349-9393.

Contact Information

Primary practice address
1325 E Church St Ste 301 Santa Maria CA 93454
Phone: (805) 349-9393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Oncology 163WX0200X RN.0175581 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0993711 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 00993711 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95012213 California

Profile Details

NPI number 1487167482
LBN Legal business name Tilley, Tracy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2017
Last updated Nov 8th, 2023 - about 2 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 1487167482 NPPES
Colorado Other RN.0175581 COLORADO STATE BOARD OF NURSING

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