| Tracy Hawse Np Llc | |
|
150 S Auburn St Grass Valley CA 95945-6576 | |
| (530) 613-1284 | |
| (866) 247-1585 |
| Full Name | Tracy Hawse Np Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 150 S Auburn St, Grass Valley, California |
| Authorized Official Name and Position | Tracy Hawse (OWNER) |
| Authorized Official Contact | 5306131284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Hawse Np Llc 150 S Auburn St Grass Valley CA 95945-6576 Ph: (530) 613-1284 | Tracy Hawse Np Llc 150 S Auburn St Grass Valley CA 95945-6576 Ph: (530) 613-1284 |
| NPI Number | 1073196119 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073196119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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