Elliff, Traci L.

Elliff, Traci L. is an individual health care provider with primary practice located at 12600 Cantrell Rd #200, Little Rock AR 72223-1604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Elliff, Traci L. can be contacted via phone (501) 581-1212.

Contact Information

Primary practice address
12600 Cantrell Rd #200 Little Rock AR 72223-1604
Phone: (501) 581-1212
Fax: (501) 712-1400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X M01019 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A03361 ANP Arkansas

Profile Details

NPI number 1740202282
LBN Legal business name Elliff, Traci L.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 26th, 2016 - about 9 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 1740202282 NPPES
Arkansas MEDICAID 154125799

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