Individual
PATRICE L TRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
110 29TH AVE N, NASHVILLE, TN 37203-1401
(615) 327-4304
Mailing address
110 29TH AVE N, NASHVILLE, TN 37203-1448
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
29071
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3057540
BCBS
TN
Enumeration date
01/11/2006
Last updated
02/04/2011
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