Aldridge, Traci Rae

Aldridge, Traci Rae is an individual health care provider with primary practice located at 11209 N. Tatum Blvd Suite 255, Phoenix AZ 85028. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Aldridge, Traci Rae can be contacted via phone (602) 494-5050.

Contact Information

Primary practice address
11209 N. Tatum Blvd Suite 255 Phoenix AZ 85028
Phone: (602) 494-5050
Fax: (602) 889-9140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X TAP2549 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP2549 Arizona

Profile Details

NPI number 1750468138
LBN Legal business name Aldridge, Traci Rae
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Feb 20th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750468138 NPPES
Arizona Other TAP2549 ONE YEAR WHNP LICENSURE

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