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NPI Code Detail

MEDICARE: TRACI L SANTANGELO CNM

MEDICARE:   TRACI L SANTANGELO  CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeAP124122TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28434NFOTHERTXBCBS

General Provider Information

NPI Number : 1437584422
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACI L SANTANGELO CNM
Provider Business Mailing Address
First Line : 7453 LAS COLINAS BLVD
Second Line :
City : IRVING
State : TX
Zip : 75063-7561
Country : US
Telephone Number : 972-215-6934
Fax Number : 972-607-9254
Provider Business Practice Location Address
First Line : 7453 LAS COLINAS BLVD
Second Line :
City : IRVING
State : TX
Zip : 75063-7561
Country : US
Telephone Number : 972-215-6934
Fax Number : 972-607-9254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2013
Last Update Date : 03/21/2025

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Directions to “ TRACI L SANTANGELO CNM” Practice Location

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