Moore, Traci
Moore, Traci is an individual health care provider with primary practice located at 3931 N Stockton Hill Rd , Kingman AZ 86409-2426. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Traci can be contacted via phone (928) 385-7100.Contact Information
Primary practice address
3931 N Stockton Hill Rd
Kingman AZ 86409-2426
Phone: (928) 385-7100
Fax: (855) 538-3114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | RNP315038 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 315038 | Arizona |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | RN186954 | Arizona |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN186954 | Arizona |
Profile Details
| NPI number | 1225570005 |
|---|---|
| LBN Legal business name | Moore, Traci |
| Credentials | APRN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2016 |
| Last updated | Dec 4th, 2025 - about last year |
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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