Individual
TRACY COVERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919-4053
(865) 293-5749
Mailing address
PO BOX 631856, BALTIMORE, MD 21263-1856
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7601058642
DC
Other
Enumeration date
08/18/2005
Last updated
03/06/2025
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