| Doctor Name: | TRACY LEE DREW |
| NPI Number: | 1184810806 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., N.P. |
| License Number: | 14106 |
| Business Practice Address: | 150 Pioneer Ln Bishop, CA - 935142556 |
| Business Phone Number: | 7608732849 |
| Business Fax Number: | 7608732836 |
| Mailing Address: | 150 Pioneer Ln, BISHOP |
| State: | CA |
| Postal Code: | 935142556 |
| Phone Number: | 7608732849 |
| Fax Number: | 7608732836 |
| NPI Enumeration Date: | 09/16/2007 |
| NPI Last Update Date: | 09/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 14106 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |