Individual
MRS. TRACYE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 NW 121 TERR, OKLAHOM CITY, OK 73114
(405) 605-9791
Mailing address
812 NW 121ST TER, OKLAHOMA CITY, OK 73114-8315
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
120171
OK
Other
Enumeration date
09/14/2017
Last updated
12/09/2024
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