Individual provider · Type 1 NPI

Tracie M. Naillieux

Registered Nurse · South Bend, IN

NPI number 1194688440 Active

Practice location

3575 Moreau Ct Ste 200
South Bend, IN 46628-4387

Call (219) 248-3666 Map

Fax (219) 764-8403

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X28287900A (IN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1194688440

Tracie M. Naillieux's National Provider Identifier is 1194688440, issued on Dec 4, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in South Bend, IN. The record was last updated on Jan 8, 2026.