| NPI | 1184233132 |
|---|---|
| Former Name | TRACY NICHOLLE CIESLAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 180522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 171070) |
| 163W00000X Registered Nurse (Licence: NM RN-84545) | |
| 363L00000X Nurse Practitioner (Licence: NM 61071) | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2022-07-27 |