Wood, Traci Lynn

Wood, Traci Lynn is an individual health care provider with primary practice located at 196 E 2000 N Suite 100, Tooele UT 84074-9335. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wood, Traci Lynn can be contacted via phone (435) 882-7644.

Contact Information

Primary practice address
196 E 2000 N Suite 100 Tooele UT 84074-9335
Phone: (435) 882-7644
Fax: (435) 882-2284
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8187126-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 8187126-1206 Utah

Profile Details

NPI number 1659643385
LBN Legal business name Wood, Traci Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2012
Last updated Dec 20th, 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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