Individual provider · Type 1 NPI

Traci M. Penner, APRN

Family Nurse Practitioner · Grand Island, NE

NPI number 1891248720 Active

Practice location

3610 Richmond Cir Ste 100
Grand Island, NE 68803-3910

Fax (308) 398-6408

Mailing address

PO Box 1725
Grand Island, NE 68802-1725

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XA144741 (IA)
Family Nurse Practitioner Primary 363LF0000X112074 (NE)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1891248720

Traci M. Penner, APRN's National Provider Identifier is 1891248720, issued on Jul 27, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Island, NE. The record was last updated on Apr 12, 2022.