Individual provider · Type 1 NPI
Tracy Gage, LVN
Licensed Vocational Nurse · Santa Monica, CA
Practice location
909 Pico Blvd
Santa Monica, CA 90405-1326
Mailing address
2644 30th St Ste 100
Santa Monica, CA 90405-3051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse Primary | 164X00000X | 288153 (CA) |
Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…
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About NPI 1508472887
Tracy Gage, LVN's National Provider Identifier is 1508472887, issued on Sep 22, 2020. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Santa Monica, CA. The record was last updated on Sep 22, 2020.