Flanigan, Traci A
Flanigan, Traci A is an individual health care provider with primary practice located at 5901 Westown Pkwy Suite 210, West Des Moines IA 50266-8218. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Flanigan, Traci A can be contacted via phone (515) 221-9222.Contact Information
Primary practice address
5901 Westown Pkwy Suite 210
West Des Moines IA 50266-8218
Phone: (515) 221-9222
Fax: (515) 221-0575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | D-082430 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | D082430 | Iowa |
Profile Details
| NPI number | 1598757643 |
|---|---|
| LBN Legal business name | Flanigan, Traci A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jan 9th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598757643 | NPPES |
| Iowa | MEDICAID | 01118745 | |
| Iowa | Other | 50171 | |
| Iowa | Other | 50171 |
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