Individual provider · Type 1 NPI
Wanda Eileen Tacey
Community Health Registered Nurse · Palo Alto, CA
NPI number
1104925957
Active
Practice location
3801 Miranda Ave
Palo Alto, CA 94304-1207
Fax (650) 858-3934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 199408 (CA) |
Community Health Registered Nurse: Definition to come...
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About NPI 1104925957
Wanda Eileen Tacey's National Provider Identifier is 1104925957, issued on Sep 21, 2006. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Palo Alto, CA. The record was last updated on Jul 8, 2007.