Active NPIIndividual provider

Mrs. Tracie E Despirito, RN

Registered Nurse in Spring Valley, New York

NPI Number1396175691
Practice location
400 Viola RD, Spring Valley, NY 10977-2048
Fax
845-577-6484
Last updated
November 22, 2013

Tracie Ellen Despirito is a Registered Nurse based in Spring Valley, NY. Tracie Ellen Despirito practices in Spring Valley, NY and has the professional credentials of RN. The NPI Number for Tracie Ellen Despirito is 1396175691 and holds a License No. 658735 (NY). The current practice location address for Tracie Ellen Despirito is 400 Viola RD, Spring Valley, NY 10977-2048 and can be reached out via phone at 845-577-6412 and via fax at 845-577-6484.

Provider Profile Details

NPI Number
1396175691
Provider Name
Tracie Ellen Despirito
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
400 Viola RD, Spring Valley, NY 10977-2048
Phone Number
845-577-6412
Fax Number
845-577-6484
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
November 22, 2013
Last Update Date
November 22, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Viola RD
Spring Valley, NY 10977-2048
Zip
10977-2048
Phone Number
845-577-6412
Fax Number
845-577-6484
Spring Valley, NY 10977Get directions →

Provider Business Mailing Address Details

Address
105 S Madison Ave
Spring Valley, NY 10977-5474
City
Spring Valley
State
NY
Zip
10977-5474
Phone Number
845-577-6000
Fax Number
845-577-6358

License Information

License Number
658735
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Tracie E Despirito, RN?

The NPI number of Mrs. Tracie E Despirito, RN is 1396175691. It was assigned on November 22, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tracie E Despirito, RN?

Mrs. Tracie E Despirito, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 658735.

Where does Mrs. Tracie E Despirito, RN practice?

The practice location is 400 Viola RD, Spring Valley, NY 10977-2048. The office can be reached at 845-577-6412 (phone) or 845-577-6484 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396175691 directly on the NPPES registry website.

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