Traci Davis Suber in Hattiesburg - Women's Health
Traci Davis Suber - NPI 1962628966
Traci Davis Suber is a Women's Health in Hattiesburg, Mississippi. Traci Davis Suber practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Traci Davis Suber is 1962628966. The last update date is 2020-08-11.
Traci Davis Suber's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012685640 and fax number 6015795240. The mailing address for Traci Davis Suber is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci Davis Suber |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6012685640 |
| Fax Number | 6015795240 |
| Sole Proprietor | N |
| Credentials | WHNP |
NPI Number Detail
| NPI Number | 1962628966 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2020-08-11 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6012685640 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Women's Health |
|---|---|
| Taxonomy | 363Lw0102X |
| Licence No | R814179 |
|
Definition: An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 118984 | MS | -- | |
| 12181303 | MS | CAQH ID # | |
| 2285175 | MS | UNITED HEALTHCARE | |
| 7059463 | MS | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Traci Davis Suber by the Centers for Medicare & Medicaid Services (CMS)?
The Traci Davis Suber has been assigned the NPI (National Provider Identifier) 1962628966. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Traci Davis Suber is located?
The Traci Davis Suber is situated at the following address: 415 S 28Th Ave, Hattiesburg, MS, 394017246.
What is Traci Davis Suber's specialized field of practice, and what is the corresponding taxonomy classification code?
The Traci Davis Suber's area of specialization is Women's Health, and the corresponding taxonomy code that categorizes this field of practice is 363Lw0102X.
On what date was the 1962628966 assigned to Traci Davis Suber?
The Traci Davis Suber was issued its 1962628966 on 2007-04-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Traci Davis Suber most recently updated or refreshed?
The details pertaining to the Traci Davis Suber, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-11.
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