Tracey Lynn Mcdonough in Fort Walton Beach - Licensed Practical Nurse

Tracey Lynn Mcdonough - NPI 1902085194

Tracey Lynn Mcdonough is a Licensed Practical Nurse in Fort Walton Beach, Florida. Tracey Lynn Mcdonough practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Tracey Lynn Mcdonough is 1902085194. The last update date is 2007-10-24.

Tracey Lynn Mcdonough's current location address is 221 Hospital Dr Ne, Fort Walton Beach, Florida. You can contact this provider via phone number 8508339240. The mailing address for Tracey Lynn Mcdonough is 221 Hospital Dr Ne, Fort Walton Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracey Lynn Mcdonough
Address 221 Hospital Dr Ne, Fort Walton Beach, Florida
Phone Number 8508339240
Fax Number
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1902085194
Provider Enumeration Date 2007-10-24
Last Updated Date 2007-10-24

Provider Mailing Address Detail

Address 221 Hospital Dr Ne
City Fort Walton Beach
State Florida (FL)
Post Code 325485066
Phone Number 8508339240
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No PN5156934
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Tracey Lynn Mcdonough

What is the unique identifier code issued to Tracey Lynn Mcdonough by the Centers for Medicare & Medicaid Services?

The Tracey Lynn Mcdonough has been assigned the NPI (National Provider Identifier) 1902085194. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Tracey Lynn Mcdonough is geographically located?

The Tracey Lynn Mcdonough is physically situated at the following location: 221 Hospital Dr Ne, Fort Walton Beach, FL, 325485066.

What is the Tracey Lynn Mcdonough's area of specialization and corresponding taxonomy classification?

The Tracey Lynn Mcdonough's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.

When was the Tracey Lynn Mcdonough's 1902085194 issued?

The Tracey Lynn Mcdonough's 1902085194 was issued on 2007-10-24.

When was the Tracey Lynn Mcdonough's information last updated?

The Tracey Lynn Mcdonough's information was last updated on 2007-10-24.

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