Miss Tracye Lynn Clark, LVN is a
Licensed Vocational Nurse based in King City, California. Miss Tracye Lynn Clark is licensed to practice in California (license number 186106) and her current practice location is
46100 Pine Meadow Dr, King City, California. She can be reached at her office (for appointments etc.) via phone at
(661) 344-2424.
NPI number for Miss Tracye Lynn Clark is 1750411948 and her current mailing address is 46100 Pine Meadow Dr, King City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750411948.
Provider's Profile
| Full Name | Miss Tracye Lynn Clark |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 46100 Pine Meadow Dr, King City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750411948
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 03/29/2010
Medical Identifiers
Medical identifiers for Miss Tracye Lynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750411948 | NPI | - | NPPES |
| SYC8060 | Other | CA | STAFFCODE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 186106 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Tracye Lynn Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Tracye Lynn Clark, LVN
46100 Pine Meadow Dr,
King City, CA 93930-9740
Ph: (661) 344-2424 | Miss Tracye Lynn Clark, LVN
46100 Pine Meadow Dr,
King City, CA 93930-9740
Ph: (661) 344-2424 |
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