Tracie E. Packineau
Case Manager/Care Coordinator in Bismarck, ND(View on Map)
Full Name
Tracie E Packineau
NPI Number
1730829565
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/30/2022
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
1237 W DIVIDE AVE STE 5
1237 W DIVIDE AVE STE 5
City
Bismarck
Bismarck
State
ND
ND
Postal Code
58501-1208
58501-1208
Country
US
US
Telephone Number
(701) 328-8944
(701) 328-8944
Identifiers
Identifier
1649226713
Identifier State
ND
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
dhswcmedrec@nd.gov
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
1237 W Divide Ave Ste 5Bismarck, ND585011208US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/30/2022
Provider Address
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