TRACEY KING - NPI 1669805917 - Licensed Practical Nurse in Medford, NY

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

On this page

About Tracey King NPPES

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

TRACEY KING (NPI 1669805917) is an individual licensed practical nurse in Medford, New York, licensed in New York (301073) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1669805917

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTRACEY KING

Location Address80 WILSON AVEMedford, NY 11763-1095

Mailing Address80 Wilson AveMedford, NY 11763-1095 · (631) 320-0535

Phone(631) 320-0535

Sole ProprietorNo

Enumeration DateAugust 9, 2013

✔ NPI 1669805917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 301073

Definition

A licensed practical nurse 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.

80 WILSON AVE, Medford, NY 11763

Open in Google Maps ↗

Frequently Asked Questions

What is Tracey King's NPI number?

The NPI number assigned to this healthcare provider is 1669805917, enumerated as an "individual" on August 09, 2013.

Where is the provider located?

The provider is located at 80 WILSON AVE MEDFORD, NY 11763 and the phone number is (631) 320-0535.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.