Traci Ennis, PA-C
Physician Assistant in Concord, New Hampshire
1487692406- Practice location
- 250 Pleasant St, Concord, NH 03301-7539
- Phone
- 603-228-7575
- Fax
- 603-228-7585
- Last updated
- April 6, 2009
Traci Ennis is a Physician Assistant based in Concord, NH. Traci Ennis practices in Concord, NH and has the professional credentials of PA-C. The NPI Number for Traci Ennis is 1487692406 and holds a License No. 0212 (NH). The current practice location address for Traci Ennis is 250 Pleasant St, Concord, NH 03301-7539 and can be reached out via phone at 603-228-7575 and via fax at 603-228-7585.
Provider Profile Details
- NPI Number
- 1487692406
- Provider Name
- Traci Ennis
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 250 Pleasant St, Concord, NH 03301-7539
- Phone Number
- 603-228-7575
- Fax Number
- 603-228-7585
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 3, 2006
- Last Update Date
- April 6, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 250 Pleasant St
Concord, NH 03301-7539 - City
- Concord
- State
- New Hampshire
- Zip
- 03301-7539
- Phone Number
- 603-228-7575
- Fax Number
- 603-228-7585
Provider Business Mailing Address Details
- Address
- 19 Farrington Corner RD
Hopkinton, NH 03229-2020 - City
- Hopkinton
- State
- NH
- Zip
- 03229-2020
- Phone Number
- 603-228-7575
- Fax Number
- 603-228-7585
License Information
- License Number
- 0212
- License State
- NH
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Traci Ennis, PA-C?
The NPI number of Traci Ennis, PA-C is 1487692406. It was assigned on June 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Traci Ennis, PA-C?
Traci Ennis, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NH under license number 0212.
Where does Traci Ennis, PA-C practice?
The practice location is 250 Pleasant St, Concord, NH 03301-7539. The office can be reached at 603-228-7575 (phone) or 603-228-7585 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487692406 directly on the NPPES registry website.