TRACEY M EASTERLING N.P. NPI 1992230478

NPI Information

NPI: 1992230478
Provider Name: TRACEY M EASTERLING, N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: PROVIDENCE FACEY MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
14550 W SOLEDAD CANYON RD
CANYON COUNTRY, CA
ZIP 91387
Phone: (661) 250-5200
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Tracey M Easterling, N.P. is an adult health nurse practitioner in Canyon Country, CA with 8 years of experience. Tracey M Easterling, N.P. NPI is 1992230478. 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:

14550 W SOLEDAD CANYON RD
CANYON COUNTRY, CA
ZIP 91387-200
Phone: (661) 250-5200
Fax: (661) 510-5210

The NPI 1992230478 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/21/2017 and was last updated on 3/29/2019.

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	363L00000X	Nurse Practitioner		95006200	CALIFORNIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	95006200	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: 11/14/2023

NPI Synchronization or Removal

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