Individual
TRACIE JOANNA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
(864) 573-3000
Mailing address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128627
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
32211
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32211
APRN
SC
01
—
APN11195
ADVANCED PRACTICE NURSE
TN
Enumeration date
02/14/2006
Last updated
08/07/2026
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