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Individual
TRACY TRAYLOR
Active
Individual
TRACY TRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.459782
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN.459782
OH
163WC2100X
Continence Care Registered Nurse
RN.459782
OH
171400000X
Health & Wellness Coach
—
—
177F00000X
Lodging Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/19/2024
Last updated
06/27/2024
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