Individual
MRS. TRACY LE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, PMHNP-BC
Contact information
Practice address
17075 DEVONSHIRE ST STE 204, NORTHRIDGE, CA 91325-5408
(818) 368-8929
Mailing address
620 HOUSEMAN ST, LA CANADA FLINTRIDGE, CA 91011-2638
(310) 902-5364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
65007673
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95007673
CA
Other
Enumeration date
11/29/2017
Last updated
02/22/2025
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