Individual
TRACI L BAZZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8000
Mailing address
PO BOX 933642, ATLANTA, GA 31193-0001
(912) 354-4847
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN172807
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541979731A
—
GA
Enumeration date
09/01/2006
Last updated
04/30/2008
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