Provider Demographics
NPI:1811624356
Name:MEE, TRACEY (FNP)
Entity type:Individual
Prefix:
First Name:TRACEY
Middle Name:
Last Name:MEE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 OLD RIVER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9505
Mailing Address - Country:US
Mailing Address - Phone:805-739-3112
Mailing Address - Fax:805-346-3685
Practice Address - Street 1:500 OLD RIVER RD STE 200
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9505
Practice Address - Country:US
Practice Address - Phone:661-663-6429
Practice Address - Fax:661-663-6041
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95021069363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily