Individual provider · Type 1 NPI
Tracie Lee Kelly, N.P.
Nurse Practitioner · Santa Ana, CA
Practice location
517 N Main St
Santa Ana, CA 92701-4686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 793605 (CA) |
| Nurse Practitioner Primary | 363L00000X | 22948 (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 1942639760
Tracie Lee Kelly, N.P.'s National Provider Identifier is 1942639760, issued on Nov 2, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Ana, CA. The record was last updated on Nov 2, 2013.