Tara Deborah Lacey in Berkeley - Nurse Practitioner
Tara Deborah Lacey - NPI 1326231010
Tara Deborah Lacey is a Nurse Practitioner in Berkeley, California. Tara Deborah Lacey practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tara Deborah Lacey is 1326231010. The last update date is 2020-03-04.
Tara Deborah Lacey's current location address is 3100 San Pablo Ave., Berkeley, California. You can contact this provider via phone number 4154763342 and fax number 5109855202. The mailing address for Tara Deborah Lacey is 3100 San Pablo Ave., Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Deborah Lacey |
|---|---|
| Address | 3100 San Pablo Ave., Berkeley, California |
| Phone Number | 4154763342 |
| Fax Number | 5109855202 |
| Sole Proprietor | N |
| Credentials | RN, NP |
NPI Number Detail
| NPI Number | 1326231010 |
|---|---|
| Provider Enumeration Date | 2007-08-25 |
| Last Updated Date | 2020-03-04 |
Provider Mailing Address Detail
| Address | 3100 San Pablo Ave. |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 94702 |
| Phone Number | 4154763342 |
| Fax Number | 5109855202 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 17427 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Tara Deborah Lacey by the Centers for Medicare & Medicaid Services?
The Tara Deborah Lacey has been assigned the NPI (National Provider Identifier) 1326231010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Tara Deborah Lacey is geographically located?
The Tara Deborah Lacey is physically situated at the following location: 3100 San Pablo Ave., Berkeley, CA, 94702.
What is Tara Deborah Lacey's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tara Deborah Lacey's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did Tara Deborah Lacey receive its 1326231010 assignment from the Centers for Medicare & Medicaid Services?
The Tara Deborah Lacey was assigned its 1326231010 on 2007-08-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tara Deborah Lacey last refreshed?
The information related to the Tara Deborah Lacey, including its address, specialty, and other relevant details, was last updated on 2020-03-04.
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