Individual provider · Type 1 NPI
Micaela M. Tracy, RN
Pediatric Nurse Practitioner · Los Angeles, CA
NPI number
1447864038
Active
Practice location
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Mailing address
326 E Jefferson Ave
St. Louis, MO 63122-4541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95209963 (CA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95032714 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1447864038
Micaela M. Tracy, RN's National Provider Identifier is 1447864038, issued on Sep 1, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 25, 2025.