Individual
MRS. TRACY P SVOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531
(360) 669-0335
(360) 669-0527
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 623-1117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP60455419
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60455419
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038339
—
WA
Enumeration date
03/06/2013
Last updated
08/15/2018
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