Tracy D. Fairbairn in Springfield - Nurse Anesthetist, Certified Registered

Tracy D. Fairbairn - NPI 1114138872

Tracy D. Fairbairn is a Nurse Anesthetist, Certified Registered in Springfield, Missouri. Tracy D. Fairbairn practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Tracy D. Fairbairn is 1114138872. The last update date is 2011-05-20.

Tracy D. Fairbairn's current location address is Po Box 2580, Springfield, Missouri. You can contact this provider via phone number 4178294620 and fax number 4178294316. The mailing address for Tracy D. Fairbairn is Po Box 2580, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy D. Fairbairn
Address Po Box 2580, Springfield, Missouri
Phone Number 4178294620
Fax Number 4178294316
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1114138872
Provider Enumeration Date 2007-05-24
Last Updated Date 2011-05-20

Provider Mailing Address Detail

Address Po Box 2580
City Springfield
State Missouri (MO)
Post Code 658012580
Phone Number 4178294620
Fax Number 4178294316

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 2000165088
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
# PENDING MO AR BLUE SHIELD #
# PENDING MO --
# PENDING AR --

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FAQs about Tracy D. Fairbairn

What is the unique 10-digit identification code assigned to Tracy D. Fairbairn by the Centers for Medicare & Medicaid Services?

The Tracy D. Fairbairn has been issued the NPI (National Provider Identifier) 1114138872, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Tracy D. Fairbairn?

The Tracy D. Fairbairn is situated at Po Box 2580, in the city of Springfield, state of MO, with the zip code 658012580.

What is Tracy D. Fairbairn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tracy D. Fairbairn is Nurse Anesthetist, Certified Registered, and the taxonomy code that classifies this field of practice is 367500000X.

On what date did Tracy D. Fairbairn receive its 1114138872 assignment from the Centers for Medicare & Medicaid Services?

The Tracy D. Fairbairn was assigned its 1114138872 on 2007-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Tracy D. Fairbairn most recently updated?

The details pertaining to the Tracy D. Fairbairn, including its address, specialty, and other relevant information, were last refreshed on 2011-05-20.

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