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Individual

MS. MEGAN TRACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PNP

Contact information

Practice address
725 WELCH RD, RM 3167 MC 5928, PALO ALTO, CA 94304-1601
(650) 721-6737
(650) 721-6748
Mailing address
44 SELKIRK ST, OAKLAND, CA 94619-1626

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
NP12936
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP12936
NP LIC NUMBER
CA
Enumeration date
05/30/2007
Last updated
06/12/2012
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