Individual
TRACY GRUNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 228-3335
(419) 998-4586
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 335969
OH
367500000X
Certified Registered Nurse Anesthetist
28211599A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.335969
OH
Other
Enumeration date
09/13/2011
Last updated
02/14/2023
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