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NPI Code Detail

MEDICARE: TRACY N KING WHNP-BC

MEDICARE:   TRACY N KING  WHNP-BC
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
1363LW0102XWomen's Health Nurse Practitioner866361NV
2363LW0102XWomen's Health Nurse PractitionerCOA.10725-NPOH

General Provider Information

NPI Number : 1891925756
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY N KING WHNP-BC
Provider Business Mailing Address
First Line : 1050 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-7427
Country : US
Telephone Number : 702-721-9799
Fax Number : 678-968-2287
Provider Business Practice Location Address
First Line : 1050 E FLAMINGO RD STE 1071050
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-7427
Country : US
Telephone Number : 702-721-9799
Fax Number : 678-968-2287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2009
Last Update Date : 10/31/2025

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Directions to “ TRACY N KING WHNP-BC” Practice Location

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