Individual
TRACIE JANENE ASBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
Mailing address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
90062
OK
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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