Individual
TRACEY NICOLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 329-6711
(803) 329-5120
Mailing address
PO BOX 2974, ROCK HILL, SC 29732-4974
(803) 329-6711
(803) 329-5120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17704
SC
367500000X
Certified Registered Nurse Anesthetist
ARNP9234711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2200
—
SC
Enumeration date
09/23/2008
Last updated
11/12/2013
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