Traci Lynn Pantzke in Fargo - Nurse Anesthetist, Certified Registered
Traci Lynn Pantzke - NPI 1932159183
Traci Lynn Pantzke is a Nurse Anesthetist, Certified Registered in Fargo, North Dakota. Traci Lynn Pantzke practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Traci Lynn Pantzke is 1932159183. The last update date is 2007-11-15.
Traci Lynn Pantzke's current location address is 2301 25th St S, Fargo, North Dakota. You can contact this provider via phone number 7012341728 and fax number 7012341628. The mailing address for Traci Lynn Pantzke is 2301 25th St S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci Lynn Pantzke |
|---|---|
| Address | 2301 25th St S, Fargo, North Dakota |
| Phone Number | 7012341728 |
| Fax Number | 7012341628 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1932159183 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2007-11-15 |
Provider Mailing Address Detail
| Address | 2301 25th St S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581036104 |
| Phone Number | 7012341728 |
| Fax Number | 7012341628 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R22825 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20823 | ND | ND BLUE SHIELD | |
| 131R8PA | MN | MN BLUE SHIELD | |
| 10221 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Traci Lynn Pantzke by the Centers for Medicare & Medicaid Services?
The Traci Lynn Pantzke has been assigned the NPI (National Provider Identifier) 1932159183. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Traci Lynn Pantzke is physically located?
The Traci Lynn Pantzke is physically situated at the following address: 2301 25Th St S, Fargo, ND, 581036104.
What is Traci Lynn Pantzke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Traci Lynn Pantzke is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932159183 to Traci Lynn Pantzke?
The Centers for Medicare & Medicaid Services assigned the 1932159183 to Traci Lynn Pantzke on 2006-05-10.
As of what date were the details related to Traci Lynn Pantzke most recently updated or revised?
The information pertaining to Traci Lynn Pantzke, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-15.