Provider Demographics
NPI:1295614592
Name:HANCHETT, TRACI HALIA (RN)
Entity type:Individual
Prefix:
First Name:TRACI
Middle Name:HALIA
Last Name:HANCHETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 TOWNE CT
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-1629
Mailing Address - Country:US
Mailing Address - Phone:808-283-8303
Mailing Address - Fax:
Practice Address - Street 1:742 TOWNE CT
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-1629
Practice Address - Country:US
Practice Address - Phone:808-283-8303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNURR27759163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult