Hay, Traci L
Hay, Traci L is an individual health care provider with primary practice located at 1621 Sheridan Lake Rd Ste B , Rapid City SD 57702-3432. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hay, Traci L can be contacted via phone (605) 716-3742.Contact Information
Primary practice address
1621 Sheridan Lake Rd Ste B
Rapid City SD 57702-3432
Phone: (605) 716-3742
Fax: (605) 716-3743
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | CP000485 | South Dakota |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CP000485 | South Dakota |
Profile Details
NPI number | 1831271592 |
---|---|
LBN Legal business name | Hay, Traci L |
Credentials | MSN, CNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 20th, 2006 |
Last updated | Aug 12th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831271592 | NPPES |
South Dakota | Other | S114087 | MEDICARE |
South Dakota | MEDICAID | 6828985 | MEDICARE |
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