Provider Demographics
NPI:1578057071
Name:KREIFELS, TRACI RENEE (APRN)
Entity Type:Individual
Prefix:
First Name:TRACI
Middle Name:RENEE
Last Name:KREIFELS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:TRACI
Other - Middle Name:RENEE
Other - Last Name:NEEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5200 S 56TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1891
Mailing Address - Country:US
Mailing Address - Phone:402-421-6200
Mailing Address - Fax:402-421-6070
Practice Address - Street 1:5200 S 56TH ST STE 2
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1891
Practice Address - Country:US
Practice Address - Phone:402-421-6200
Practice Address - Fax:402-421-6070
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112473207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine