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NPI 1861426959

NPI 1861426959 : TRACY N WALKER CRNA : VESTAVIA HILLS, AL

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General NPI Number Information
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    NPI Number           |    1861426959
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    Entity Type          |    Individual 
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    Provider Name        |    TRACY N WALKER CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/11/2006
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    Last Update Date     |    06/24/2025
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Provider Practice Location Address
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    Address Line         |    200 MONTGOMERY HWY STE 200 
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    City                 |    VESTAVIA HILLS
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    State                |    AL
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    Zip                  |    35216-1896
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    Country              |    US
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    Telephone            |    205-723-0088
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    Fax                  |    205-406-7222
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Provider Business Mailing Address
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    Address Line         |    200 MONTGOMERY HWY STE 200 
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    City                 |    VESTAVIA HILLS
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    State                |    AL
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    Zip                  |    35216-1896
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    Country              |    US
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    Telephone            |    205-723-0088
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    Fax                  |    205-406-7222
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    1-088220
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    License Number State |    AL
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