Individual provider · Type 1 NPI

Tracey King

Licensed Practical Nurse · Medford, NY

NPI number 1669805917 Active

Practice location

80 Wilson Ave
Medford, NY 11763-1095

Call (631) 320-0535 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X301073 (NY)

Licensed Practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1669805917

Tracey King's National Provider Identifier is 1669805917, issued on Aug 9, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on Aug 9, 2013.