Individual
TRACEY LYN MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
605 OAK ST, BIG RAPIDS, MI 49307-2048
(231) 592-4270
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704169891
MI
Other
Enumeration date
05/17/2006
Last updated
09/04/2025
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