Provider Demographics
NPI:1245523109
Name:TRAFFORD, COURTNEY (CPHT, CCRC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:TRAFFORD
Suffix:
Gender:F
Credentials:CPHT, CCRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RIDGEFIELD CT
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2270
Mailing Address - Country:US
Mailing Address - Phone:828-670-8403
Mailing Address - Fax:
Practice Address - Street 1:100 RIDGEFIELD CT
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806
Practice Address - Country:US
Practice Address - Phone:828-670-8403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15282183700000X
1744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study
No183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC440101080560172OtherPHARMACY TECHNICIAN CERTIFICATION BOARD
NC15282OtherNC BOARD OF PHARMACY
CCRCOtherTHE ASSOCIATION OF CLINICAL RESEARCH PROFESSIONALS