Individual provider · Type 1 NPI
Tracy Tabalon
Licensed Practical Nurse · Modesto, CA
NPI number
1740663673
Active
Practice location
2032 Lancey Dr
Modesto, CA 95355-3033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 200773 (CA) |
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.
Other licensed practical nurse providers in Modesto
About NPI 1740663673
Tracy Tabalon's National Provider Identifier is 1740663673, issued on Jul 9, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Modesto, CA. The record was last updated on Jul 9, 2015.