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Traci Ann Mowry, LPN
Licensed Practical Nurse in Syracuse, New York
NPI 1700919198

Traci Ann Mowry is a Licensed Practical Nurse based in Syracuse, NY. Traci Ann Mowry practices in Syracuse, NY and has the professional credentials of LPN. The NPI Number for Traci Ann Mowry is 1700919198 and holds a License No. 270388 (New York).

The current practice location address for Traci Ann Mowry is 1350 Oak Street, Syracuse, NY and can be reached out via phone at 315-396-5295 and via fax at 315-423-0905. You can also correspond with Traci Ann Mowry through the mailing address at 1350 OAK STREET, SYRACUSE, NY - 13203 (mailing address contact number: 315-396-5295).

Location: 1350 Oak Street, Syracuse, NY, 13203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700919198
Provider Name
Traci Ann Mowry
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1350 Oak Street, Syracuse, NY, 13203
Phone Number
315-396-5295
Fax Number
315-423-0905
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02625125 05 NY
institution
Provider Business Practice Location Address Details
Address
1350 Oak Street
City
Syracuse
State
New York
Zip
13203
Phone Number
315-396-5295
Fax Number
315-423-0905
person
Provider Business Mailing Address Details
Address
1350 Oak Street
City
Syracuse
State
New York
Zip
13203
Phone Number
315-396-5295
Fax Number
315-423-0905
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
270388 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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