TRACI MEDRANO NPI 1124747944

NPI Information

  • NPI: 1124747944
  • Provider Name: TRACI MEDRANO
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 4841 TRAMWAY RIDGE DR NE
    ALBUQUERQUE, NM
    ZIP 87111
  • Phone: (877) 499-1354

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NPI Details

Traci Medrano is an addiction (substance use disorder) counselor in Albuquerque, NM. Traci Medrano NPI is 1124747944. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4841 TRAMWAY RIDGE DR NE
ALBUQUERQUE, NM
ZIP 87111-787
Phone: (877) 499-1354
Fax: (888) 636-1795

The enumeration date for this NPI number is 8/24/2022 and was last updated on 8/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CSA0213231NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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