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NPI Code Detail

MEDICARE: TRACI LEE CRAVER NNP

MEDICARE: TRACI LEE CRAVER NNP
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
1363LN0005XCritical Care Neonatal Nurse PractitionerRN197475 NP-03312OH

General Provider Information

NPI Number : 1841371259
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACI LEE CRAVER NNP
Provider Business Mailing Address
First Line : 5272 SPENCER RD
Second Line :
City : LYNDHURST
State : OH
Zip : 44124-1251
Country : US
Telephone Number : 440-442-0265
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line : RBC6010
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-1922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/08/2007

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Directions to “ TRACI LEE CRAVER NNP” Practice Location

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