Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY MUMBULO
Active Sole ProprietorTRACY MUMBULO is a Licensed Practical Nurse healthcare provider located in JBER, Alaska. NPI 1699130963 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · JBER, AK
Registration Details
- NPI Number
- 1699130963
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 30, 2015 (10.43806183226 yrs)
- Last Updated
- Dec 30, 2015
- License
-
105653 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
208 AKUTAN AVE UNIT AJBER, AK, 99505Browse AK providers · Browse ZIP 99505
- Phone
- 9198882291
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in JBER, AK
| Name | Credential | NPI |
|---|---|---|
| WADE BROR CLAUSON | LPN | 1821363532 |
| AMBER LLEWELLYN | — | 1730510975 |
| ALANNA ROBERTS | — | 1770902140 |
| YAMAH KONE | — | 1457732257 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.