MRS. TRACI DENISE DARNELL


Address: 497 W Lott St, Buffalo, WY 82834-1609
Phone: 3076842228

MRS. TRACI DENISE DARNELL (NPI# 1336128883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336128883
Entity Type Individual
Full Name MRS. TRACI DENISE DARNELL
Other Name MS. TRACI DENISE PHELPS
Credential PA C
Practice Address 497 W Lott St
Buffalo
WY 82834-1609
Mailing Address 497 West Lott
Buffalo
WY 82834-1609
Practice Telephone 3076842228
Practice Fax Number 3076842177
Mailing Telephone 3076842228
Mailing Fax Number 3076842177
Enumeration Date 2006-01-12
Last Update Date 2007-08-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
280 WY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WY BLUE CROSS 313751 01
WY 11811730 05

Office Location

Street Address 497 W LOTT ST
City BUFFALO
State WY
Zip Code 82834-1609

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164427274 Jeffery W Edstrom Nurse Anesthetist, Certified Registered 497 W Lott St, Buffalo, WY 82834-1658 2005-06-15
1700487865 Savanah K Jackson Dietitian, Registered 497 W Lott St, Buffalo, WY 82834-1658 2020-11-05
1083044630 Chelsea Puente Physician Assistant 497 W Lott St, Buffalo, WY 82834-1658 2013-11-18
1629364377 Lisa Marie Mullen Family Medicine 497 W Lott St, Buffalo, WY 82834-1658 2011-06-21
1336229624 Jennifer Ann Rice Family Medicine 497 W Lott St, Buffalo, WY 82834-1658 2006-10-17
1346228483 Lawrence Edward Kirven Family Medicine 497 W Lott St, Buffalo, WY 82834-1609 2006-01-09
1316925456 Aubrey Dozier Tabb Family Medicine 497 W Lott St, Buffalo, WY 82834-1609 2006-01-09
1306824446 Grace Marie Gosar Family Medicine 497 W Lott St, Buffalo, WY 82834-1609 2006-01-09
1023096153 Hermilo Gonzalez Jr. Family Medicine 497 W Lott St, Buffalo, WY 82834-1609 2006-01-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083993216 Matthew Rick Raney Dentist 1001 Eagle View Drive, Buffalo, WY 82834 2011-08-05
1083881262 Sandra K Ham Nurse Practitioner 107 W Hesse, Buffalo, WY 82834 2008-05-15
1366502726 Cotant Family Dentistry, P.C. Dental Hygienist 112 High Street, Buffalo, WY 82834 2006-12-08
1487755823 Jeanne Louise Peterson Midwife 30 Luna, Buffalo, SC 82834 2006-09-26
1902873193 James Loren Johnson Jr. Chiropractor 963 Fort St, 4, Buffalo, WY 82834 2006-03-07
1043854888 Wayne Kenneth Mcpherson Jr. Marriage & Family Therapist 512 W. Lott, Buffalo, WY 82834-1336 2019-11-05
1194248625 Thales Christian Haskell Dentist 1001 Eagle View Dr, Buffalo, WY 82834-1417 2017-07-17
1528094158 James Joseph Shubert Dentist 1001 Eagle View Dr, Buffalo, WY 82834-1422 2006-06-24
1457631558 Eagle Summit Dental Clinic, Inc Dentist 1001 Eagle View Dr, Buffalo, WY 82834-1422 2011-08-19
1366719718 Bidonde Family Practice, LLC Nurse Practitioner 107 W Hesse St, Buffalo, WY 82834-1501 2011-11-29
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407323546 Lauren Samantha Wiatrowski Physician Assistant 2475 Harlem Rd # 4558, Buffalo, NY 14225-4558 2018-10-26
1407238744 Nicole J Jurek Physician Assistant 462 Grider St Ste 116, Buffalo, NY 14215-3021 2015-06-23
1912399114 Arian Pllana Physician Assistant 47 Vermont St, Buffalo, NY 14213-2427 2015-02-24
1386032928 Karyanne Cox Physician Assistant 100 E Tupper St, Buffalo, NY 14203-1315 2015-01-06
1255516324 Harding County Healthcare LLC Physician Assistant 209 Ramsland Street, Buffalo, SD 57720-0182 2008-01-08
1164594099 Urban Family Practice PC Physician Assistant 564 Niagara Street, Buffalo, NY 14201 2006-11-15
1760567127 Suzanne Moscati Physician Assistant 95 Franklin St, Buffalo, NY 14202-3925 2006-10-26
1326089087 Sharon Ruth Wittman-klein Physician Assistant 22 Cazenovia St, Buffalo, NY 14220-1706 2006-06-10
1386681211 David Michael Dapolito Physician Assistant 200 International Dr, Buffalo, NY 14221-8217 2006-05-31
1801862115 Patricia Gilbert Physician Assistant 209 Ramsland St., Buffalo, SD 57720-0182 2006-02-27
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Competitor

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City BUFFALO
Zip Code 82834

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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