Individual
TRACI LEIGH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 352-1000
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 352-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4033746
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
4704240215
MI
Other
Enumeration date
01/07/2010
Last updated
04/03/2025
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