Individual
TRACY A. ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
242A 9TH AVE DR NE, HICKORY, NC 28601
(828) 327-6673
Mailing address
PO BOX 2429, MURRELLS INLET, SC 29576-2429
(843) 651-2624
(843) 357-4940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
188922
NC
Other
Enumeration date
06/07/2006
Last updated
10/29/2020
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