Individual
TRACEE CHOUINARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
5606 SW LEE BLVD STE 201, LAWTON, OK 73505-9651
(580) 699-5333
Mailing address
256937 E 1790 RD, GERONIMO, OK 73543-5228
(602) 999-9813
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
207449
OK
Other
Enumeration date
01/03/2024
Last updated
02/28/2024
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