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NPI Code Detail

MEDICARE: MS. TRACY L MAUSER CRNA

MEDICARE: MS. TRACY L MAUSER CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN502087LPA
2163WP0000XPain Management Registered NurseRN502087LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00390174OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1052378OTHERPACRNA RECERT
3RN502087LOTHERPAREGISTERED NURSE LICENSE
423273409OTHERPADRIVERS LICENSE

General Provider Information

NPI Number : 1487625315
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACY L MAUSER CRNA
Provider Business Mailing Address
First Line : 1657 STURBRIDGE DR
Second Line :
City : SEWICKLEY
State : PA
Zip : 15143-8514
Country : US
Telephone Number : 412-548-3299
Fax Number :
Provider Business Practice Location Address
First Line : 4800 FRIENDSHIP AVENUE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1722
Country : US
Telephone Number : 412-578-1354
Fax Number : 412-578-4981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 01/14/2019

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Directions to “ MS. TRACY L MAUSER CRNA” Practice Location

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