Morken, Traci J

Morken, Traci J is an individual health care provider with primary practice located at 859 Mankato Ave , Winona MN 55987-4868. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Morken, Traci J can be contacted via phone (507) 454-3680.

Contact Information

Primary practice address
859 Mankato Ave Winona MN 55987-4868
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP1989 Minnesota

Profile Details

NPI number 1982614558
LBN Legal business name Morken, Traci J
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Oct 20th, 2015 - about 10 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 1982614558 NPPES
Minnesota MEDICAID 620078800

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