Individual provider · Type 1 NPI
Tracy Mumbulo
Licensed Practical Nurse · Jber, AK
NPI number
1699130963
Active
Practice location
208 Akutan Ave Unit A
Jber, AK 99505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 105653 (AK) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Other licensed practical nurse providers in Jber
About NPI 1699130963
Tracy Mumbulo's National Provider Identifier is 1699130963, issued on Dec 30, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jber, AK. The record was last updated on Dec 30, 2015.