TRACY L ROSS

TAHLEQUAH, OK
NPI1083842520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AR  A01450ANP)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: OK  09035013)
Enumeration Date2009-06-23
Last Update Date2010-07-23
Business Address
-- TRACY L ROSS APN
1387 W 4TH ST
TAHLEQUAH, OK 74464-9766
Phone number: 918-453-5554
Mailing Address
-- TRACY L ROSS APN
1387 W 4TH ST
TAHLEQUAH, OK 74464-9766
Phone number: 918-453-5554