Individual
MRS. TRACY L. PAGANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
423 SCRANTON CARBONDALE HWY, SCRANTON, PA 18508-1115
(570) 558-6372
Mailing address
423 SCRANTON CARBONDALE HWY, SCRANTON, PA 18508-1115
(570) 558-6372
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN527330L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022092050001
—
PA
Enumeration date
04/20/2007
Last updated
06/13/2025
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