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Contact Information

TRACY TILLEY
1325 E CHURCH ST STE 301
SANTA MARIA, CA93454
 Phone: 805-349-9393
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Oncology

163WX0200X
Indicates primary specialty

NPI Profile & details for TRACY TILLEY · (Female)

NPI Number 1487167482
Status Active
Credentials
Entity Individual
Enumeration date 11/13/2017
Last updated 11/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 95012213
  • CO License # 00993711
  • CO License # 0993711
  • CO License # RN.0175581
  • CO Other RN.0175581 COLORADO STATE BOARD OF NURSING
Hospital affiliation(s)
  • MARIAN REGIONAL MEDICAL CENTER - (Acute Care)
    1400 E CHURCH ST
    SANTA MARIA, CA 93454
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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