Peterson, Tracy L.

Peterson, Tracy L. is an individual health care provider with primary practice located at 800 East Carpenter Street Room 2K64, Springfield IL 62769-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Peterson, Tracy L. can be contacted via phone (217) 525-5643.

Contact Information

Primary practice address
800 East Carpenter Street Room 2K64 Springfield IL 62769-0001
Phone: (217) 525-5643
Fax: (217) 544-2521
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041269645 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209005309 Illinois

Profile Details

NPI number 1588652440
LBN Legal business name Peterson, Tracy L.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Dec 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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