Individual
TRACY RENE' RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 NIOBRARA AVE, TORRINGTON, WY 82240-1522
(307) 532-3035
(949) 577-4626
Mailing address
601 NIOBRARA AVE, TORRINGTON, WY 82240-1522
(307) 532-3035
(307) 275-9533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101232
NE
367500000X
Certified Registered Nurse Anesthetist
130570
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
22402.1181
WY
367500000X
Certified Registered Nurse Anesthetist
CRA-100117
CO
Other
Enumeration date
03/25/2012
Last updated
04/30/2026
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