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Contact Information

TRACI D ANDERSON, APRN
310 N L ROGERS WELLS BLVD
GLASGOW, KY42141-1300
 Phone: 270-659-3398
 Fax: 270-651-1892
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TRACI D ANDERSON · (Female)

NPI Number 1093386740
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/05/2021
Last updated 03/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 3016283
  • KY Medicaid 7100752180
Hospital affiliation(s)
  • T J SAMSON COMMUNITY HOSPITAL - (Acute Care)
    1301 NORTH RACE STREET
    GLASGOW, KY 42141
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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