Mandryk, Tracy D
Mandryk, Tracy D is an individual health care provider with primary practice located at 1901 Outlet Center Dr Suite 230, Oxnard CA 93036-0663. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Mandryk, Tracy D can be contacted via phone (805) 983-6233.Contact Information
Primary practice address
1901 Outlet Center Dr Suite 230
Oxnard CA 93036-0663
Phone: (805) 983-6233
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 388425 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 388425 | California |
Profile Details
| NPI number | 1356667059 |
|---|---|
| LBN Legal business name | Mandryk, Tracy D |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2010 |
| Last updated | Sep 7th, 2012 - 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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