Individual
TRACY A STANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435
(952) 924-5000
Mailing address
6401 FRANCE AVE S, EDINA, MN 55435-2104
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2206
MN
367500000X
Certified Registered Nurse Anesthetist
4778-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61298
DEAN HEALTH INSURANCE
WI
Enumeration date
11/22/2011
Last updated
06/27/2018
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