Individual provider · Type 1 NPI

Tracy Davis, LPN

Licensed Practical Nurse · Redmond, WA

NPI number 1043554900 Active

Practice location

16601 NE 80th St, #404
Redmond, WA 98052-6643

Mailing address

PO Box 2803
Redmond, WA 98073-2803

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP00057085 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1043554900

Tracy Davis, LPN's National Provider Identifier is 1043554900, issued on Nov 16, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Redmond, WA. The record was last updated on Sep 26, 2014.