Individual provider · Type 1 NPI

Tracy Eidson, N.P.

Nurse Practitioner · Vallejo, CA

NPI number 1184995342 Active

Practice location

210 Hospital Dr
Vallejo, CA 94589-2517

Fax (707) 645-0426

Mailing address

PO Box 22210
Oakland, CA 94623-2210

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X17990 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184995342

Tracy Eidson, N.P.'s National Provider Identifier is 1184995342, issued on Jan 19, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Vallejo, CA. The record was last updated on Sep 11, 2012.