Provider Demographics
NPI:1316271901
Name:HARTLEY, TRACY (CD(DONA))
Entity type:Individual
Prefix:MS
First Name:TRACY
Middle Name:
Last Name:HARTLEY
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 SARAZEN DR
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-4413
Mailing Address - Country:US
Mailing Address - Phone:877-436-8528
Mailing Address - Fax:
Practice Address - Street 1:1716 SARAZEN DR
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-4413
Practice Address - Country:US
Practice Address - Phone:877-436-8528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula