NPI 1376921239 · live from the CMS NPI Registry
Tracey Oliver, Nurse Practitioner
Nurse Practitioner, Obstetrics & Gynecology in Wasilla, AK. National Provider Identifier 1376921239, active.
NPI record
| NPI | 1376921239 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Obstetrics & Gynecology 363LX0001X |
| Practice location | 3750 E Country Field Cir, Suite D, Wasilla, AK 99654 |
| Practice phone | 907-357-6121 |
| Enumerated | May 12, 2015 |
| Last updated | May 12, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology primary | 363LX0001X | 1539 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.