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NPI 1891176566 · live from the CMS NPI Registry

Tracie Janene Asbill

Nurse Practitioner, Pediatrics in Stilwell, OK. National Provider Identifier 1891176566, active.

NPI record

NPI1891176566 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice locationRr 6 Box 840, Stilwell, OK 74960
Practice phone918-696-8800
EnumeratedJune 17, 2015
Last updatedJune 17, 2015
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X90062 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.