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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659620862 | NPPES |
| Montana | Other | 0000371690 | BLUE CROSS-SHIELD OF MONTANA |
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