TRACY MUMBULO NPI 1699130963

NPI Information

Tracy Mumbulo is a licensed practical nurse in Jber, AK. The provider is a licensed practical nurse 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. Tracy Mumbulo NPI is 1699130963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

208 AKUTAN AVE UNIT A
JBER, AK
ZIP 99505
Phone: (919) 888-2291

The enumeration date for this NPI number is 12/30/2015 and was last updated on 12/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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