Timothy Lee Traugott in Clinton Township - Nurse Practitioner

Timothy Lee Traugott - NPI 1881858694

Timothy Lee Traugott is a Nurse Practitioner in Clinton Township, Michigan. Timothy Lee Traugott practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Timothy Lee Traugott is 1881858694. The last update date is 2023-01-16.

Timothy Lee Traugott's current location address is 15855 19 Mile Rd, Clinton Township, Michigan. You can contact this provider via phone number 5862632300 and fax number 3138761305. The mailing address for Timothy Lee Traugott is 15855 19 Mile Rd, Clinton Township, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Lee Traugott
Address 15855 19 Mile Rd, Clinton Township, Michigan
Phone Number 5862632300
Fax Number 3138761305
Sole Proprietor N
Credentials ACNP

NPI Number Detail

NPI Number 1881858694
Provider Enumeration Date 2008-07-11
Last Updated Date 2023-01-16

Provider Mailing Address Detail

Address 15855 19 Mile Rd
City Clinton Township
State Michigan (MI)
Post Code 480383504
Phone Number 5862632300
Fax Number 3138761305

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No AP116679
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1881858694 TX BLUE CROSS BLUE SHIELD
P01254148 TX MEDICARE RR
282228003 TX --
100096797 WI --
282228002 TX --
P00982598 TX MEDICARE RR
845N38 TX BLUE CROSS BLUE SHIELD
282228004 TX --
P01094717 TX RR MEDICARE

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FAQs about Timothy Lee Traugott

What is the Timothy Lee Traugott's 1881858694?

The Timothy Lee Traugott's NPI (National Provider Identifier) Number is 1881858694. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Timothy Lee Traugott's physical address?

The Timothy Lee Traugott is physically located at 15855 19 Mile Rd, in the city of Clinton Township, MI, with the postal code 480383504.

What is Timothy Lee Traugott's specialized field of practice, and what is the corresponding taxonomy classification code?

The Timothy Lee Traugott's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.

On what date did Timothy Lee Traugott receive its 1881858694 assignment from the Centers for Medicare & Medicaid Services?

The Timothy Lee Traugott was assigned its 1881858694 on 2008-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Timothy Lee Traugott most recently updated?

The details pertaining to the Timothy Lee Traugott, including its address, specialty, and other relevant information, were last refreshed on 2023-01-16.

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