Individual
TRACI WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1551 E TANGERINE RD, ORO VALLEY, AZ 85755-6213
(520) 901-3500
Mailing address
900 W ASH ST, DEMING, NM 88030-4000
(575) 546-5855
(575) 546-5855
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
296245
AZ
367500000X
Certified Registered Nurse Anesthetist
4051063
KY
367500000X
Certified Registered Nurse Anesthetist
CRNA-01052
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64180379
—
NM
Enumeration date
09/14/2009
Last updated
01/28/2026
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