Individual
TRACEY LEE VIEN
Active
Individual
TRACEY LEE VIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP RN PHN
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95094588
CA
163WE0003X
Emergency Registered Nurse
95094588
CA
363LP2300X
Primary Care Nurse Practitioner
95021281
CA
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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