Individual provider · Type 1 NPI

Tracy D. Mandryk, NP

Acute Care Nurse Practitioner · Oxnard, CA

NPI number 1356667059 Active

Practice location

1901 Outlet Center Dr, Suite 230
Oxnard, CA 93036-0663

Mailing address

1011 Waterbury Ln
Ventura, CA 93001-3841

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X388425 (CA)
Acute Care Nurse Practitioner Primary 363LA2100X388425 (CA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1356667059

Tracy D. Mandryk, NP's National Provider Identifier is 1356667059, issued on Apr 20, 2010. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Oxnard, CA. The record was last updated on Sep 7, 2012.