Individual
MR. TIMOTHY LEE TRAUGOTT
Active
Individual
MR. TIMOTHY LEE TRAUGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
683774
TX
363L00000X
Nurse Practitioner
4704351488
MI
363L00000X
Nurse Practitioner
9826
WI
363L00000X
Nurse Practitioner
AP11174
AZ
363L00000X
Nurse Practitioner
AP116679
TX
363L00000X
Nurse Practitioner
L154631
IA
363LA2100X
Acute Care Nurse Practitioner
0024177398
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
4704351488
MI
363LA2100X
Acute Care Nurse Practitioner
683774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096797
—
WI
01
—
1881858694
BLUE CROSS BLUE SHIELD
TX
05
—
282228002
—
TX
05
—
282228003
—
TX
05
—
282228004
—
TX
01
—
845N38
BLUE CROSS BLUE SHIELD
TX
01
—
P00982598
MEDICARE RR
TX
01
—
P01094717
RR MEDICARE
TX
01
—
P01254148
MEDICARE RR
TX
Enumeration date
07/11/2008
Last updated
12/05/2025
Update your record
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