Spence, Tracy Katherine

Spence, Tracy Katherine is an individual health care provider with primary practice located at 6701 N Charles St , Towson MD 21204-6808. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Spence, Tracy Katherine can be contacted via phone (410) 296-4616.

Contact Information

Primary practice address
6701 N Charles St Towson MD 21204-6808
Phone: (410) 296-4616
Fax: (410) 337-5068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R144229 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R144229 Maryland

Profile Details

NPI number 1306941521
LBN Legal business name Spence, Tracy Katherine
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Aug 10th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306941521 NPPES
Maryland MEDICAID 4405056 00

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