Individual
TRACI A MCCARTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2051 CLEVIDENCE BLVD, SUITE 1, CLARKSVILLE, IN 47129-2278
(812) 280-9145
(812) 280-6641
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5100
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001451A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000268802
ANTHEM
IN
01
—
000023031M
HUMANA
IN
01
—
020503
SIHO
IN
01
—
1374624
CIGNA
IN
01
—
196260L
MEDICARE
IN
05
—
200429070
—
IN
01
—
P00002514
RAILROAD MEDICARE
IN
Enumeration date
04/19/2006
Last updated
09/04/2024
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