Individual
TRACY CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
(206) 326-2785
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
(206) 326-2785
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005916
WA
367500000X
Certified Registered Nurse Anesthetist
ARNP1460492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305068800
—
FL
01
—
G1682
BCBS
—
01
—
G1682H
MC-33476BMFAA
FL
01
—
PO728666
MEDICARE
—
01
—
SS#
CHAMPUS
—
Enumeration date
06/02/2006
Last updated
05/26/2021
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