Individual
TRACY HEMBREE VANZURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9848 N TRYON ST STE 200, CHARLOTTE, NC 28262-5512
(704) 548-5200
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 873-9533
(844) 454-0171
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
220
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0987
—
SC
05
—
GP2991
—
SC
Enumeration date
11/30/2005
Last updated
03/17/2018
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