Individual
JACQUELINE TRASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
528 SOLLY AVE, PHILADELPHIA, PA 19111-1906
(215) 806-6832
Mailing address
528 SOLLY AVE, PHILADELPHIA, PA 19111-1906
(215) 806-6832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN336132L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
PENDING
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN336132L
LICENSE
PA
Enumeration date
12/22/2010
Last updated
09/22/2025
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