# MATHAUS Q TRAGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316178791
- **Gender:** Man
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 26NJ00543300 | NJ | Yes |
| 363L00000X | Nurse Practitioner | SP010378 | PA | — |

## Other

- **Enumeration date:** 08/03/2009
- **Last updated:** 05/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0749359 | CIGNA | — |
| 05 | — | 1026559160001 | — | PA |
| 01 | — | 2641113 | HIGHMARK BLUE SHIELD | PA |