MEDICARE: TRACI HITE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	19037	CA

General Provider Information

NPI Number	:	1790012532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACI HITE NP

Provider Business Mailing Address
First Line	:	5651 COPLEY DR STE A
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-7903
Country	:	US
Telephone Number	:	858-262-6666
Fax Number	:

Provider Business Practice Location Address
First Line	:	5651 COPLEY DR STE A
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-7903
Country	:	US
Telephone Number	:	858-262-6666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2009
Last Update Date	:	03/19/2025

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Directions to “ TRACI HITE NP” Practice Location

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