Individual
DENISE HARBIN DRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
995 9TH AVE SW, BESSEMER, AL 35022-4527
(205) 481-7670
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0777
(205) 481-7670
(205) 481-7573
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-029842
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051005185
BLUE CROSS
AL
05
—
051558411
—
AL
01
—
721608375
MEDICARE COMPLETE
AL
01
—
R63221
VIVA HEALTH
AL
Enumeration date
09/14/2006
Last updated
07/08/2007
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