Individual provider · Type 1 NPI

Tracey Lee Vien, AGNP RN PHN

Case Management Registered Nurse · Los Angeles, CA

NPI number 1558054536 Active

Practice location

4867 W Sunset Blvd
Los Angeles, CA 90027-5969

Call (323) 783-7156 Map

Mailing address

2423 Charlotte Ave
Rosemead, CA 91770-3628

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X95094588 (CA)
Emergency Registered Nurse 163WE0003X95094588 (CA)
Primary Care Nurse Practitioner 363LP2300X95021281 (CA)

Case Management Registered Nurse: Definition to come...

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About NPI 1558054536

Tracey Lee Vien, AGNP RN PHN's National Provider Identifier is 1558054536, issued on May 26, 2023. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Los Angeles, CA. The record was last updated on May 26, 2023.