Individual ProviderTraci McgregorRegistered NurseNursing Service ProvidersPractice Address190 E Bannock St, St Lukes Emergency Room, Boise, ID 83712-6241(208) 381-2235(208) 559-2588PECOS EnrollmentBased on the most recent information from CMS, provider Traci Mcgregor does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:05 AM.Profile DetailsProvider ID1043600620Provider TypeIndividualFull NameMcgregor, TraciCredentialRNGenderFemaleSole ProprietorNoEnumeration Date2/3/2015Last Updated2/3/2015Contact InformationPractice LocationPractice Address190 E Bannock St, St Lukes Emergency Room, Boise, ID 83712-6241Phone(208) 381-2235FaxUnlisted FaxMailing LocationMailing Address2564 W Kuna Rd, Kuna, ID 83634-1232Phone(208) 559-2588FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseN 33957Idaho