Heese, Traci Mae

Heese, Traci Mae is an individual health care provider with primary practice located at 126 Missouri Ave Glwach (Attn: Sheila Ham), Fort Leonard Wood MO 65473-8952. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, 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. Heese, Traci Mae can be contacted via phone (573) 596-0417.

Contact Information

Primary practice address
126 Missouri Ave Glwach (Attn: Sheila Ham) Fort Leonard Wood MO 65473-8952
Phone: (573) 596-0417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 110497 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CR000714 South Dakota

Profile Details

NPI number 1598747578
LBN Legal business name Heese, Traci Mae
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jan 20th, 2009 - about 17 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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