TRACEY M EATON FNP
NPI 1962892950
Nurse Practitioner - Family in Santa Rosa, CA
Active since January 28, 2015
85 BROOKWOOD AVE, SUITE 10, SANTA ROSA, CA 95404(707) 303-8349(707) 303-8694 Get Directions Write a Review
About Tracey M Eaton Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACEY M EATON FNP (NPI 1962892950) is an individual family provider in Santa Rosa, California, licensed in California (NPF95001608) and active in the NPI registry since January 2015.
NPPES Registry Identity
NPI1962892950
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACEY M EATONCredential: FNP
Location Address85 BROOKWOOD AVE, SUITE 10Santa Rosa, CA 95404-4513
Mailing Address85 Brookwood Ave, Suite 10Santa Rosa, CA 95404-4513 · (707) 303-8349 · Fax (707) 303-8694
Phone(707) 303-8349
Fax(707) 303-8694
Sole ProprietorNo
Enumeration DateJanuary 28, 2015
✔ NPI 1962892950 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NPF95001608
85 BROOKWOOD AVE, Santa Rosa, CA 95404
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962892950, enumerated as an "individual" on January 28, 2015.
The provider is located at 85 BROOKWOOD AVE SUITE 10 SANTA ROSA, CA 95404 and the phone number is (707) 303-8349.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
