Individual
TRACI MCGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
190 E BANNOCK ST, ST LUKES EMERGENCY ROOM, BOISE, ID 83712-6241
(208) 381-2235
Mailing address
2564 W KUNA RD, KUNA, ID 83634-1232
(208) 559-2588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N 33957
ID
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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