Gansberg, Traci Nichole
Gansberg, Traci Nichole is an individual health care provider with primary practice located at 2821 Daggett Ave Ste 200 , Klamath Falls OR 97601-1106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gansberg, Traci Nichole can be contacted via phone (541) 274-8400.Contact Information
Primary practice address
2821 Daggett Ave Ste 200
Klamath Falls OR 97601-1106
Phone: (541) 274-8400
Fax: (541) 274-8405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201605976NP-PP | Oregon |
Profile Details
| NPI number | 1336692813 |
|---|---|
| LBN Legal business name | Gansberg, Traci Nichole |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2016 |
| Last updated | Feb 11th, 2020 - 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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