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Mr. Timothy Lee Traugott, ACNP
Acute Care Nurse Practitioner in Clinton Township, Michigan
NPI 1881858694

Timothy Lee Traugott is an Acute Care Nurse Practitioner based in Detroit, MI and is specialized in Acute Care. Timothy Lee Traugott practices in Clinton Township, MI and has the professional credentials of ACNP. The NPI Number for Timothy Lee Traugott is 1881858694 and holds a License No. 683774 (Michigan).

The current practice location address for Timothy Lee Traugott is 15855 19 Mile Rd, Clinton Township, MI and can be reached out via phone at 586-263-2300 and via fax at 313-876-1305.

Location: 15855 19 Mile Rd, Clinton Township, MI, 48202-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881858694
Provider Name
Timothy Lee Traugott
Credential
ACNP
Provider Entity Type
Individual
Gender
Male
Address
15855 19 Mile Rd, Clinton Township, MI, 48202-3450
Phone Number
586-263-2300
Fax Number
313-876-1305
Provider Enumeration Date
07/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881858694 01 TX BLUE CROSS BLUE SHIELD
P01254148 01 TX MEDICARE RR
282228003 05 TX
100096797 05 WI
282228002 05 TX
P00982598 01 TX MEDICARE RR
845N38 01 TX BLUE CROSS BLUE SHIELD
282228004 05 TX
P01094717 01 TX RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
15855 19 Mile Rd
City
Clinton Township
State
Michigan
Zip
48038-3504
Phone Number
586-263-2300
Fax Number
313-876-1305
person
Provider Business Mailing Address Details
Address
15855 19 Mile Rd
City
Clinton Township
State
Michigan
Zip
48038-3504
Phone Number
586-263-2300
Fax Number
313-876-1305
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
9826 (Wisconsin)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP116679 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
683774 (Texas)
Definition
Definition to come...
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