Ates, Tracie L

Ates, Tracie L is an sole proprietor health care provider with primary practice located at 4901 Grande Dr , Pensacola FL 32504-5935. 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. Ates, Tracie L can be contacted via phone (850) 477-7042.

Contact Information

Primary practice address
4901 Grande Dr Pensacola FL 32504-5935
Phone: (850) 477-7042
Fax: (850) 474-9060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9188008 Florida

Profile Details

NPI number 1124196878
LBN Legal business name Ates, Tracie L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Nov 9th, 2011 - about 14 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 1124196878 NPPES
Alabama Other 590-63836 BCBS
Alabama Other G3066 BCBS
Alabama MEDICAID 009994370 BCBS
Alabama MEDICAID 304516100 BCBS

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