Individual
TRACY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2320 N 9TH AVE, PURCELL, OK 73080-1741
(405) 912-3930
(405) 912-3931
Mailing address
2320 N 9TH AVE, PURCELL, OK 73080-1741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214214
OK
Other
Enumeration date
08/09/2023
Last updated
02/12/2024
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