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Individual

TRACY L KALUZNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
101 W 8TH AVE STE 100L-1, SPOKANE, WA 99204-2307
(509) 474-5445
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
10007831
OR
363LP0200X
Pediatric Nurse Practitioner
6233
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61513080
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5440038
TN
Enumeration date
12/23/2005
Last updated
04/01/2024
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