Individual
TRACY S HOORNSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
76 PEACHTREE RD, SUITE 300, ASHEVILLE, NC 28803-3505
(828) 274-3477
(828) 274-7407
Mailing address
76 PEACHTREE RD, SUITE 300, ASHEVILLE, NC 28803-3505
(828) 274-3477
(828) 274-7407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
164063
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
053055
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051492
—
NC
Enumeration date
10/24/2006
Last updated
06/21/2012
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