Individual
BRIDGET TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
7561 QUIET COVE CIR, HUNTINGTON BEACH, CA 92648-6826
(714) 292-9297
Mailing address
7561 QUIET COVE CIR, HUNTINGTON BEACH, CA 92648-6826
(714) 292-9297
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0675
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301574
BRN
CA
Enumeration date
09/17/2007
Last updated
01/22/2018
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