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Individual

TRACY MCGOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1068 CRESTHAVEN RD, SUITE 150, MEMPHIS, TN 38119-0800
(901) 682-2872
(901) 682-9316
Mailing address
PO BOX 171181, MEMPHIS, TN 38187-1181
(901) 682-2872
(901) 682-9316

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
109385
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
16132
TN
367500000X
Certified Registered Nurse Anesthetist
901682
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1525457
TN
Enumeration date
09/06/2011
Last updated
02/10/2026
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