Kelly, Tracie Lee

Kelly, Tracie Lee is an individual health care provider with primary practice located at 517 N Main St , Santa Ana CA 92701-4686. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kelly, Tracie Lee can be contacted via phone (714) 647-0401.

Contact Information

Primary practice address
517 N Main St Santa Ana CA 92701-4686
Phone: (714) 647-0401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 793605 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 22948 California

Profile Details

NPI number 1942639760
LBN Legal business name Kelly, Tracie Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2013
Last updated Nov 2nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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