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 |
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Address | Po Box 98886, Lakewood, Washington |
Phone Number | 2535896573 |
Fax Number | 2539841079 |
Sole Proprietor | N |
Credentials | ARNP |
NPI Number Detail
NPI Number | 1619069226 |
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Provider Enumeration Date | 2006-09-29 |
Last Updated Date | 2011-09-29 |
Provider Mailing Address Detail
Address | Po Box 98886 |
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City | Lakewood |
State | Washington (WA) |
Post Code | 984968886 |
Phone Number | 2535896573 |
Fax Number | 2539841079 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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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 | -- |
Post Comment/ Review Below
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.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC