Penner, Traci M
Penner, Traci M is an individual health care provider with primary practice located at 3610 Richmond Cir Ste 100 , Grand Island NE 68803-3910. 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. Penner, Traci M can be contacted via phone (308) 398-6400.Contact Information
Primary practice address
3610 Richmond Cir Ste 100
Grand Island NE 68803-3910
Phone: (308) 398-6400
Fax: (308) 398-6408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | A144741 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 112074 | Nebraska |
Profile Details
| NPI number | 1891248720 |
|---|---|
| LBN Legal business name | Penner, Traci M |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2016 |
| Last updated | Apr 12th, 2022 - about 4 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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