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MRS. TRACI MARIE SHOULTS LPN
NPI 1679981591
Licensed Practical Nurse in Oswego, NY

Active since July 23, 2014
281 RIDGE RD, OSWEGO, NY 13126(315) 751-7643 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Traci Marie Shoults Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACI MARIE SHOULTS LPN (NPI 1679981591) is an individual licensed practical nurse in Oswego, New York, licensed in New York (288986-1) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1679981591
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. TRACI MARIE SHOULTSCredential: LPN
Location Address281 RIDGE RDOswego, NY 13126-6589
Mailing Address281 Ridge RdOswego, NY 13126-6589 · (315) 751-7643
Phone(315) 751-7643
Sole ProprietorYes
Enumeration DateJuly 23, 2014
✔ NPI 1679981591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 288986-1
Definition
A licensed practical nurse 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.
281 RIDGE RD, Oswego, NY 13126
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Shoults's NPI number?

The NPI number for Traci Shoults is 1679981591. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Traci Shoults located?

Traci Shoults practices at 281 Ridge Rd, Oswego, NY 13126. The listed phone number is (315) 751-7643.

What is Traci Shoults's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Traci Shoults was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.