Individual provider · Type 1 NPI

Laurie Ann Tacey, FNP

Family Nurse Practitioner · Melbourne, FL

NPI number 1437767464 Active

Practice location

3270 Suntree Blvd
Melbourne, FL 32940-7530

Fax (833) 291-9415

Mailing address

3772 Stream Dr
Melbourne, FL 32940-1101

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11008127 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1437767464

Laurie Ann Tacey, FNP's National Provider Identifier is 1437767464, issued on Jul 15, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Melbourne, FL. The record was last updated on Jan 17, 2026.