Tracy A. Ellingson, CRNA
Nurse Anesthetist, Certified Registered in Hickory, NC. Individual provider (NPI-1).
NPI number1013957331
StatusActive
Last updated in NPPESOct 29, 2020
Details
- NPI
- 1013957331
- Entity type
- Individual (NPI-1)
- Name
- Tracy A. Ellingson
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2006
- Certification date
- Oct 28, 2020
- Last updated
- Oct 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 188922 | NC | Yes |
Practice location
242a 9th Ave Dr NeHickory, NC 28601
Phone 828-327-6673
Mailing address
Po Box 2429Murrells Inlet, SC 29576-2429
Phone 843-651-2624 · Fax 843-357-4940
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All 92 Certified Registered Nurse Anesthetist providers in Hickory · All 2,981 providers in Hickory
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