Raines, Traci L

Raines, Traci L is an individual health care provider with primary practice located at 2800 13Th Street South Suite 6, Great Falls MT 59405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Raines, Traci L can be contacted via phone (406) 731-8865.

Contact Information

Primary practice address
2800 13Th Street South Suite 6 Great Falls MT 59405
Phone: (406) 731-8865
Fax: (406) 731-8874
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 33133 Montana

Profile Details

NPI number 1659620862
LBN Legal business name Raines, Traci L
Credentials APRN, FPMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2012
Last updated Apr 28th, 2015 - about 9 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 1659620862 NPPES
Montana Other 0000371690 BLUE CROSS-SHIELD OF MONTANA

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