Individual provider · Type 1 NPI
Tracy Ann Anderson
Licensed Vocational Nurse · Upland, CA
Practice location
1614 Medinah Cir
Upland, CA 91784-8059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse Primary | 164X00000X | 235193 (CA) |
Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…
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About NPI 1114898897
Tracy Ann Anderson's National Provider Identifier is 1114898897, issued on Sep 15, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Upland, CA. The record was last updated on Sep 15, 2025.