Hanes, Traci Page

Hanes, Traci Page is an individual health care provider with primary practice located at 145 Kimel Park Dr Ste 120 , Winston Salem NC 27103. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Hanes, Traci Page can be contacted via phone (336) 768-3212.

Contact Information

Primary practice address
145 Kimel Park Dr Ste 120 Winston Salem NC 27103
Phone: (336) 768-3212
Fax: (336) 768-9019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 151906 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 070424 North Carolina

Profile Details

NPI number 1518953447
LBN Legal business name Hanes, Traci Page
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Oct 28th, 2020 - about 5 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 1518953447 NPPES
North Carolina MEDICAID 8052050
North Carolina MEDICAID NAN498

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