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Individual
MS. TRACY L MAUSER
Active
Individual
MS. TRACY L MAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
RN502087L
PA
367500000X
Certified Registered Nurse Anesthetist
RN502087L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052378
CRNA RECERT
PA
01
—
23273409
DRIVERS LICENSE
PA
01
—
P00390174
RAILROAD MEDICARE
PA
01
—
RN502087L
REGISTERED NURSE LICENSE
PA
Enumeration date
01/30/2006
Last updated
01/14/2019
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