Individual
TRACY HUNTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
CR000703
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
R30191
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16460
—
ND
Enumeration date
06/09/2008
Last updated
05/07/2025
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