Individual
TRACI L WHITBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1211 S 121ST PLZ APT 220, OMAHA, NE 68144-1520
(402) 709-3953
Mailing address
1211 S 121ST PLZ APT 220, OMAHA, NE 68144-1520
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
13656
NE
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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