NPI Profile for TRACY GEORGIS in PALOS VERDES ESTATES, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Community Health |
363LC1500X | 50 | Nurse Practitioner | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Occupational Health |
363LX0106X | 50 | Nurse Practitioner | |
School |
363LS0200X | 50 | Nurse Practitioner |
| NPI Number | 1326203373 |
|
| Status | Active | |
| Credentials | R.N., N.P. | |
| Entity | Individual | |
| Enumeration date | 07/18/2008 | |
| Last updated | 07/18/2008 - About 18 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TRACY GEORGIS
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