TRACY L. PETERSON

SPRINGFIELD, IL
NPI1588652440
Former NameTRACY L HOCKING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209005309)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  041269645)
Enumeration Date2005-10-13
Last Update Date2020-12-21
Business Address
TRACY L. PETERSON CRNA
800 EAST CARPENTER STREET ROOM 2K64
SPRINGFIELD, IL 62769-0001
Phone number: 217-525-5643
Mailing Address
TRACY L. PETERSON CRNA
800 EAST CARPENTER STREET ROOM 2K64
SPRINGFIELD, IL 62769-0001
Phone number: 217-525-5643