Prayner, Traci Lynn
Prayner, Traci Lynn is an sole proprietor health care provider with primary practice located at Po Box 1506 , Chehalis WA 98532-0409. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, 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. Prayner, Traci Lynn can be contacted via phone (360) 242-3010.Contact Information
Primary practice address
Po Box 1506
Chehalis WA 98532-0409
Phone: (360) 242-3010
Fax: (360) 740-1987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 0001171560 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 55608 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | TEMPORARY | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP60134098 | Washington |
Profile Details
| NPI number | 1841369899 |
|---|---|
| LBN Legal business name | Prayner, Traci Lynn |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | May 7th, 2024 - about 4 months 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 | 1841369899 | NPPES |
| Washington | MEDICAID | 1841369899 | |
| Washington | MEDICAID | 200440240A | |
| Washington | Other | 0292062 | |
| Washington | Other | 145946 |
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