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Individual
TRACI CHEEK O'DELL
Active
Individual
TRACI CHEEK O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
240958
NC
363L00000X
Nurse Practitioner
0024184233
VA
363L00000X
Nurse Practitioner
5015985
NC
363LF0000X
Family Nurse Practitioner
0024184233
VA
363LF0000X
Family Nurse Practitioner
Primary
5015985
NC
Other
Enumeration date
03/18/2022
Last updated
03/03/2026
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