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Individual

TRACI L HOATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1214 W A ST, NORTH PLATTE, NE 69101-4695
(308) 221-6228
(308) 221-6869
Mailing address
1214 W A ST, NORTH PLATTE, NE 69101-4695
(308) 221-6228
(308) 221-6869

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110464
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
110464
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47066229001
NE
05
47070592300
NE
05
47070592301
NE
05
47070592302
NE
05
47070592305
NE
05
47070592306
NE
05
47070592313
NE
01
P01106366
RAILROAD MEDICARE
NE
Enumeration date
10/04/2006
Last updated
10/05/2023
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