TRACY MOREY MARIANI SMYTHE PA - NPI 1083024467 - Physician Assistant in Santa Cruz, CA

Q: What is Tracy Smythe's NPI number?

The NPI number for Tracy Smythe is 1083024467. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Q: What is Tracy Smythe's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Smythe was last updated on January 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tracy Morey Mariani Smythe Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY MOREY MARIANI SMYTHE PA (NPI 1083024467) is an individual surgical provider in Santa Cruz, California, licensed in California (PA54516) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1083024467

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameTRACY MOREY MARIANI SMYTHECredential: PA

Location Address1668 DOMINICAN WAYSanta Cruz, CA 95065-1522

Mailing Address1668 Dominican WaySanta Cruz, CA 95065-1522 · (831) 464-9962 · Fax (831) 464-9933

Phone(831) 464-9962

Fax(831) 464-9933

Sole ProprietorNo

Enumeration DateMay 6, 2014

Last NPPES UpdateJanuary 15, 2019

✔ NPI 1083024467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA54516

1668 DOMINICAN WAY, Santa Cruz, CA 95065

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN WADDLE M.D.

Surgery