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Contact Information

TRACEY L ACHENBACH, CRNA
721 MADISON ST SE
HUNTSVILLE, AL35801-4408
 Phone: 256-880-6711
 Fax: 256-880-6712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for TRACEY L ACHENBACH · (Female)

NPI Number 1063461713
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 05/09/2006
Last updated 12/11/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-105829
  • AL Medicaid 051531739
  • AL Medicaid 051556509
  • AL Other 51002179 BLUE SHIELD
  • AL Other 51531739 BLUE SHIELD
Hospital affiliation(s)
  • HUNTSVILLE HOSPITAL - (Acute Care)
    101 SIVLEY RD
    HUNTSVILLE, AL 35801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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