Individual provider · Type 1 NPI

Tracey A. King

Licensed Practical Nurse · Wyandanch, NY

NPI number 1093084048 Active

Practice location

38 S 31st St
Wyandanch, NY 11798-3604

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X10278369 (NY)

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 1093084048

Tracey A. King's National Provider Identifier is 1093084048, issued on Dec 21, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Wyandanch, NY. The record was last updated on Dec 21, 2011.