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Individual

MRS. TRACEY KRANGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN-BC, AGCNS-BC

Contact information

Practice address
900 LYON CT, CONCORD, CA 94518-2619
(973) 219-6235
Mailing address
900 LYON CT, CONCORD, CA 94518-2619

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
815022
CA
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
4264
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4264
STATE LICENSE/CERTIFICATE NUMBER
CA
Enumeration date
02/03/2018
Last updated
02/03/2018
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