Individual
MRS. TRACI DEE ULIBARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(052) 716-8274
(052) 714-4184
Mailing address
316 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-7015
(928) 358-4620
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209480
OK
363LP0200X
Pediatric Nurse Practitioner
AP143660
TX
Other
Enumeration date
10/22/2019
Last updated
10/24/2022
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