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Individual
TRACEY SUZANNE WARD
Active
Individual
TRACEY SUZANNE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP116937
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
R56106
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y955
BLUE CROSS
AR
01
—
89233U
BLUE CROSS
TX
Enumeration date
07/31/2006
Last updated
09/06/2023
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