Traci Raines Aprn PLLC
Nurse Practitioner, Psych/Mental Health in Great Falls, MT. Organization (NPI-2).
NPI number1982103446
StatusActive
Last updated in NPPESMay 22, 2018
Details
- NPI
- 1982103446
- Entity type
- Organization (NPI-2)
- Legal business name
- Traci Raines Aprn PLLC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2018
- Last updated
- May 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 100701 | MT | Yes |
Practice location
120 Marillyn DrGreat Falls, MT 59405
Phone 406-560-1054
Mailing address
120 Marillyn DrGreat Falls, MT 59405-7258
Phone 406-560-1054
Authorized official
Traci Lappin Raines
Aprn
4065601054
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