TRACI ANN MOWRY LPN
NPI 1700919198
Licensed Practical Nurse in Syracuse, NY

Active since March 14, 2007
1350 OAK STREET, SYRACUSE, NY 13203(315) 396-5295(315) 423-0905 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Traci Ann Mowry Lpn NPPES

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

TRACI ANN MOWRY LPN (NPI 1700919198) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (270388) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1700919198
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTRACI ANN MOWRYCredential: LPN
Location Address1350 OAK STREETSyracuse, NY 13203
Mailing Address1350 Oak StreetSyracuse, NY 13203 · (315) 396-5295 · Fax (315) 423-0905
Fax(315) 423-0905
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1700919198 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 · 270388
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.

1350 OAK STREET, Syracuse, NY 13203

Other Identifiers 1

Medicaid02625125NY

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700919198, enumerated as an "individual" on March 14, 2007.

The provider is located at 1350 OAK STREET SYRACUSE, NY 13203 and the phone number is (315) 396-5295.

Licensed Practical Nurse with taxonomy code 164W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.