TRACI LYNN ANDERSON NNP-BC NPI 1417283839

NPI Information

  • NPI: 1417283839
  • Provider Name: TRACI LYNN ANDERSON, NNP-BC
  • Classification: Nurse Practitioner - 363LN0005X
  • Specialization: Neonatal, Critical Care
  • Entity Type: Individual
  • Address: 500 MEDICAL CENTER BLVD
    LAWRENCEVILLE, GA
    ZIP 30046
  • Phone: (678) 312-3958

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NPI Details

Traci Lynn Anderson, NNP-BC is a neonatal and critical care nurse practitioner in Lawrenceville, GA. Traci Lynn Anderson, NNP-BC NPI is 1417283839. 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:

500 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA
ZIP 30046-708
Phone: (678) 312-3958

The enumeration date for this NPI number is 10/20/2009 and was last updated on 12/6/2023.

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
1363LN0005XNurse PractitionerNeonatal, Critical CareRN160024GEORGIAYes

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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