Redmond, Traci Marie

Redmond, Traci Marie is an individual health care provider with primary practice located at 1000 E 23Rd St Ste 360 , Sioux Falls SD 57105-2140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Redmond, Traci Marie can be contacted via phone (605) 322-3950.

Contact Information

Primary practice address
1000 E 23Rd St Ste 360 Sioux Falls SD 57105-2140
Phone: (605) 322-3950
Fax: (605) 322-3960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP000721 South Dakota

Profile Details

NPI number 1891050597
LBN Legal business name Redmond, Traci Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2012
Last updated Oct 16th, 2018 - about 7 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 1891050597 NPPES
South Dakota MEDICAID 6838240

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