Joel M Tracy in Coon Rapids - Nurse Anesthetist, Certified Registered

Joel M Tracy - NPI 1083616627

Joel M Tracy is a Nurse Anesthetist, Certified Registered in Coon Rapids, Minnesota. Joel M Tracy practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Joel M Tracy is 1083616627. The last update date is 2008-05-15.

Joel M Tracy's current location address is 8990 Springbrook Dr Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7633980099 and fax number 7633980124. The mailing address for Joel M Tracy is 8990 Springbrook Dr Nw, Coon Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Joel M Tracy
Address 8990 Springbrook Dr Nw, Coon Rapids, Minnesota
Phone Number 7633980099
Fax Number 7633980124
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1083616627
Provider Enumeration Date 2005-08-12
Last Updated Date 2008-05-15

Provider Mailing Address Detail

Address 8990 Springbrook Dr Nw
City Coon Rapids
State Minnesota (MN)
Post Code 554335850
Phone Number 7633980099
Fax Number 7633980124

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No R 087703-9
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
464264300 MN --

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FAQs about Joel M Tracy

What is the unique 10-digit identifier code assigned to Joel M Tracy by the Centers for Medicare & Medicaid Services?

The Joel M Tracy has been issued the NPI (National Provider Identifier) 1083616627 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Joel M Tracy?

The Joel M Tracy is situated at 8990 Springbrook Dr Nw, in the city of Coon Rapids, state of MN, with the zip code 554335850.

What is Joel M Tracy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Joel M Tracy's specialized field of practice is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of specialization is 367500000X.

On what date did the Joel M Tracy receive its 1083616627 assignment from the Centers for Medicare & Medicaid Services?

The Joel M Tracy was assigned its 1083616627 by the Centers for Medicare & Medicaid Services on 2005-08-12.

As of what date was the information pertaining to Joel M Tracy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Joel M Tracy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-15.

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