Individual provider · Type 1 NPI

Traci Nichole Gansberg, FNP

Family Nurse Practitioner · Klamath Falls, OR

NPI number 1336692813 Active

Practice location

2821 Daggett Ave Ste 200
Klamath Falls, OR 97601-1106

Call (541) 274-8400 Map

Fax (541) 274-8405

Mailing address

2865 Daggett Ave
Klamath Falls, OR 97601-1106

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201605976NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1336692813

Traci Nichole Gansberg, FNP's National Provider Identifier is 1336692813, issued on Aug 1, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Klamath Falls, OR. The record was last updated on Feb 11, 2020.