Individual
TRACY MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 409-7667
Mailing address
208 VANCOUVER CT, KERNERSVILLE, NC 27284-7238
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119052
NC
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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