Hay, Traci L

Hay, Traci L is an individual health care provider with primary practice located at 1621 Sheridan Lake Rd Ste B , Rapid City SD 57702-3432. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hay, Traci L can be contacted via phone (605) 716-3742.

Contact Information

Primary practice address
1621 Sheridan Lake Rd Ste B Rapid City SD 57702-3432
Phone: (605) 716-3742
Fax: (605) 716-3743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CP000485 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP000485 South Dakota

Profile Details

NPI number 1831271592
LBN Legal business name Hay, Traci L
Credentials MSN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Aug 12th, 2021 - about 5 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 1831271592 NPPES
South Dakota Other S114087 MEDICARE
South Dakota MEDICAID 6828985 MEDICARE

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