Blakeburn, Traci Lauren

Blakeburn, Traci Lauren is an individual health care provider with primary practice located at 196 Cardiology Dr , Rock Hill SC 29732-1174. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Blakeburn, Traci Lauren can be contacted via phone (803) 324-5135.

Contact Information

Primary practice address
196 Cardiology Dr Rock Hill SC 29732-1174
Phone: (803) 324-5135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 26907 South Carolina

Profile Details

NPI number 1861122749
LBN Legal business name Blakeburn, Traci Lauren
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2022
Last updated Jun 14th, 2023 - about 3 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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