Raife, Tracee Shanae

Raife, Tracee Shanae is an individual health care provider with primary practice located at 3302 15Th St , Tuscaloosa AL 35401-2732. 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 / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Raife, Tracee Shanae can be contacted via phone (205) 558-0877.

Contact Information

Primary practice address
3302 15Th St Tuscaloosa AL 35401-2732
Phone: (205) 558-0877
Fax: (659) 219-7033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2012042578 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3-001798 Alabama

Profile Details

NPI number 1134465743
LBN Legal business name Raife, Tracee Shanae
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2012
Last updated Jul 5th, 2024 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134465743 NPPES
Missouri MEDICAID 420041755

Popular Providers