Dr TRACI L ELLIS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2013 from Creighton University School Of Medicine.
EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
24276 166TH AIRPORT RD
EAGLE BUTTE
SD
57625
Tel: 6059647724
| Npi | 1801227368 |
| Pac Id | 5890918270 |
| Professional Enrollment Id | I20181204001459 |
| Last Name | ELLIS |
| First Name | TRACI |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL |
| Group Practice Pac Id | 7517852759 |
| Number Of Group Practice Members | 33 |
| Line 1 Street Address | 24276 166TH AIRPORT RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAGLE BUTTE |
| State | SD |
| Zip Code | 57625 |
| Phone Number | 6059647724 |
| Hospital Affiliation Ccn 1 | 430083 |
| Hospital Affiliation Lbn 1 | PHS INDIAN HOSPITAL AT EAGLE BUTTE |
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| Professional Accepts Medicare Assignment | Y |
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