Darnell, Traci Denise

Darnell, Traci Denise is an individual health care provider with primary practice located at 497 W Lott St , Buffalo WY 82834-1609. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Darnell, Traci Denise can be contacted via phone (307) 684-2228.

Contact Information

Primary practice address
497 W Lott St Buffalo WY 82834-1609
Phone: (307) 684-2228
Fax: (307) 684-2177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 280 Wyoming

Profile Details

NPI number 1336128883
LBN Legal business name Darnell, Traci Denise
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Aug 1st, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336128883 NPPES
Wyoming MEDICAID 11811730
Wyoming Other 313751

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