TRACY MOREY MARIANI SMYTHE PA NPI 1083024467

NPI Information

NPI: 1083024467
Provider Name: TRACY MOREY MARIANI SMYTHE, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1668 DOMINICAN WAY
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 464-9962
Get Directions

Tracy Morey Mariani Smythe, PA is a surgical physician assistant in Santa Cruz, CA. Tracy Morey Mariani Smythe, PA NPI is 1083024467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1668 DOMINICAN WAY
SANTA CRUZ, CA
ZIP 95065-522
Phone: (831) 464-9962
Fax: (831) 464-9933

The enumeration date for this NPI number is 5/6/2014 and was last updated on 1/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA54516	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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