Traci Mancuso in Lakewood - Family

Traci Mancuso - NPI 1619069226

Traci Mancuso is a Family in Lakewood, Washington. Traci Mancuso practices all healthcare services and medical treatments related to Family. The NPI Number for Traci Mancuso is 1619069226. The last update date is 2011-09-29.

Traci Mancuso's current location address is Po Box 98886, Lakewood, Washington. You can contact this provider via phone number 2535896573 and fax number 2539841079. The mailing address for Traci Mancuso is Po Box 98886, Lakewood, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Traci Mancuso
Address Po Box 98886, Lakewood, Washington
Phone Number 2535896573
Fax Number 2539841079
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1619069226
Provider Enumeration Date 2006-09-29
Last Updated Date 2011-09-29

Provider Mailing Address Detail

Address Po Box 98886
City Lakewood
State Washington (WA)
Post Code 984968886
Phone Number 2535896573
Fax Number 2539841079

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No AP30006855
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2961562 NY --
9644394 WA --
1014638 WA --

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FAQs about Traci Mancuso

What is the unique provider identifier assigned to Traci Mancuso?

The Traci Mancuso has been issued the NPI (National Provider Identifier) 1619069226 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Traci Mancuso?

The Traci Mancuso is physically situated at Po Box 98886, in the city of Lakewood, state of WA, with the postal code 984968886.

What is Traci Mancuso's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Traci Mancuso's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.

When was the Traci Mancuso's 1619069226 issued?

The Traci Mancuso's 1619069226 was issued on 2006-09-29.

As of what date was the information regarding Traci Mancuso, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Traci Mancuso, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-29.

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