Individual
TRACY WANG
Active
Individual
TRACY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10054809
OR
163W00000X
Registered Nurse
RN744405
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
10054809
OR
Other
Enumeration date
01/09/2023
Last updated
04/21/2026
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