Individual provider · Type 1 NPI

Tracy Claire Kutsenkow, NP

Nurse Practitioner · Selma, CA

NPI number 1699767020 Active

Practice location

2511 Logan St, Logan Street Medical Group
Selma, CA 93662-3012

Call (559) 896-2624 Map

Fax (559) 896-3235

Mailing address

4551 N College Ave
Fresno, CA 93704-3808

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X308978 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1699767020

Tracy Claire Kutsenkow, NP's National Provider Identifier is 1699767020, issued on Aug 22, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Selma, CA. The record was last updated on May 7, 2008.