Individual
TRACY R WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 W POPLAR AVE, COLLIERVILLE, TN 38017-0601
(901) 861-9000
Mailing address
PO BOX 171306, MEMPHIS, TN 38187-1306
(800) 809-2106
(901) 726-4827
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
112847
TN
367500000X
Certified Registered Nurse Anesthetist
12312
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
6629
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLUE CROSS
4140448
TN
Enumeration date
06/05/2006
Last updated
10/12/2021
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