Tracy Eidson, N.P.

Nurse Practitioner · Vallejo, CA

Individual Active NPI

NPI number 1184995342

Practice location

210 Hospital Dr
Vallejo, CA 94589-2517
Phone
(707) 645-7316
Fax
(707) 645-0426

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NPI record

NPI
1184995342
Entity type
Individual (Type 1)
Enumeration date
January 19, 2012
Last updated
September 11, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 17990 CA

Mailing address

PO Box 22210
Oakland, CA 94623-2210
Phone
(510) 535-4000
Fax
(510) 535-4128

About Tracy Eidson

Tracy Eidson, N.P. is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 210 Hospital Dr, Vallejo, CA 94589-2517. The NPI number 1184995342 was assigned on January 19, 2012 and the record was last updated on September 11, 2012.

Tracy Eidson lists a license in the registry: #17990 (CA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracy Eidson, N.P.?

The NPI number is 1184995342.

What is the phone number of Tracy Eidson?

The phone number listed for the practice location is (707) 645-7316.

Where is Tracy Eidson located?

210 Hospital Dr, Vallejo, CA 94589-2517.

What is the taxonomy code for Tracy Eidson?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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