Individual
MS. TRACY M PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7179
Mailing address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7179
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R165385
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TAX ID
52-1969010
MD
Enumeration date
03/03/2007
Last updated
05/03/2010
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