Tracy Mumbulo
Licensed Practical Nurse · Jber, AK
Practice location
208 Akutan Ave Unit aJber, AK 99505
- Phone
- (919) 888-2291
NPI record
- NPI
- 1699130963
- Entity type
- Individual (Type 1)
- Enumeration date
- December 30, 2015
- Last updated
- December 30, 2015
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
105653 | AK |
About Tracy Mumbulo
Tracy Mumbulo is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 208 Akutan Ave Unit a, Jber, AK 99505. The NPI number 1699130963 was assigned on December 30, 2015 and the record was last updated on December 30, 2015.
Tracy Mumbulo lists a license in the registry: #105653 (AK) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Tracy Mumbulo?
The NPI number is 1699130963.
What is the phone number of Tracy Mumbulo?
The phone number listed for the practice location is (919) 888-2291.
Where is Tracy Mumbulo located?
208 Akutan Ave Unit a, Jber, AK 99505.
What is the taxonomy code for Tracy Mumbulo?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Alanna Roberts6971 Campos Ave Unit D
- Wade Bror Clauson, LPN7411 Metzger Ave Unit B