Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TRACY LYNN VERCILLO, RN
Active Sole ProprietorMRS. TRACY LYNN VERCILLO, RN is a Nurse Anesthetist, Certified healthcare provider located in LAGRANGE, Georgia. NPI 1679031710 is currently active in the NPPES registry. Verify at CMS.
Nurse Anesthetist, Certified · LAGRANGE, GA
Registration Details
- NPI Number
- 1679031710
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2019 (7.4824780073602 yrs)
- Last Updated
- Mar 7, 2019
- License
-
RN085566 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
229 S DAVIS RD STE 900LAGRANGE, GA, 302412609Browse GA providers · Browse ZIP 30241
- Phone
- 7067561489
- Primary Specialty
-
Nurse Anesthetist, Certified
163WA0400X
Other Nurse Anesthetist, Certified Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| ETHEL MAE KELLEY | — | 1023712163 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.