MEDICARE: MS. TRACI ANN CHURCH CRNP

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
1	363LF0000X	Family Nurse Practitioner	R186099	MD

Other Identifiers

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

General Provider Information

NPI Number	:	1710380621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TRACI ANN CHURCH CRNP

Provider Business Mailing Address
First Line	:	1322 BELMONT AVE STE 201
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21804-4593
Country	:	US
Telephone Number	:	410-749-6833
Fax Number	:	410-749-5139

Provider Business Practice Location Address
First Line	:	1322 BELMONT AVE STE 201
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21804-4593
Country	:	US
Telephone Number	:	410-749-6833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2014
Last Update Date	:	12/17/2025

Similar Medicare Providers

1790257855 — MID ATLANTIC PRIMARY CARE
Practice Location Address:

1322 BELMONT AVE STE 201
SALISBURY, MD
21804-4593

Practice Phone: 410-749-6833
Practice Fax: 410-749-5139

1053918847 — MRS. KATHERINE SUSAN DENNIS FNP
Practice Location Address:

1322 BELMONT AVE STE 201
SALISBURY, MD
21804-4593

Practice Phone: 410-749-6833
Practice Fax:

1548727092 — KATHERINE ELIZABETH HOPPES CRNP
Practice Location Address:

1322 BELMONT AVE STE 201
SALISBURY, MD
21804-4593

Practice Phone: 410-749-6833
Practice Fax: 410-749-5139

1730885260 — MRS. PAGE MADISON KUNTZE CRNP
Practice Location Address:

1322 BELMONT AVE STE 201
SALISBURY, MD
21804-4593

Practice Phone: 410-749-6833
Practice Fax:

1558568857 — DR. NATHAN ALLEN DECKARD M.D.
Practice Location Address:

106 MILFORD STREET , STE 101
SALISBURY, MD
21804-6966

Practice Phone: 410-742-1567
Practice Fax: 410-742-1906

1922712777 — MS. HEATHER KAYE HUBBARD CRNM
Practice Location Address:

1647 WOODBROOKE DR
SALISBURY, MD
21804-8502

Practice Phone: 410-546-2424
Practice Fax: 410-742-6633

Directions to “ MS. TRACI ANN CHURCH CRNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.