Individual
TRACEY OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3750 E COUNTRY FIELD CIR, SUITE D, WASILLA, AK 99654-6659
(907) 357-6121
Mailing address
3750 E COUNTRY FIELD CIR, SUITE D, WASILLA, AK 99654-6659
(907) 357-6121
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1539
AK
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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