Individual
TRACIE A ABPLANALP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 3RD AVE SE, MAGEE, MS 39111-3665
(601) 849-7303
Mailing address
97 TERRELL RD, PRENTISS, MS 39474-3066
(601) 596-4768
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R892422
MS
367500000X
Certified Registered Nurse Anesthetist
RN204602
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R892422
APRN LICENSE
MS
01
—
RN204602
GA LICENSE NUMBER
GA
Enumeration date
02/03/2012
Last updated
04/17/2013
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