Individual
MRS. TRACI L HAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CNP
Contact information
Practice address
1621 SHERIDAN LAKE RD STE B, RAPID CITY, SD 57702-3432
(605) 716-3742
(605) 716-3743
Mailing address
1621 SHERIDAN LAKE RD STE B, RAPID CITY, SD 57702-3432
(605) 716-3742
(605) 716-3743
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CP000485
SD
363LF0000X
Family Nurse Practitioner
Primary
CP000485
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6828985
—
SD
01
—
S114087
MEDICARE
SD
Enumeration date
10/20/2006
Last updated
11/11/2025
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