Bazzano, Traci L

Bazzano, Traci L is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. 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. Bazzano, Traci L can be contacted via phone (912) 350-8000.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404-6220
Phone: (912) 350-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN172807 Georgia

Profile Details

NPI number 1285736280
LBN Legal business name Bazzano, Traci L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Apr 30th, 2008 - about 16 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 1285736280 NPPES
Georgia MEDICAID 541979731A

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