Tracy L Ross
Nurse Practitioner Nurse Practitioner - Gerontology
1387 W 4th St
Tahlequah
, Oklahoma 74464-9766
Tracy L Ross
Nurse Practitioner Nurse Practitioner - Gerontology
1387 W 4th St
Tahlequah
, Oklahoma 74464-9766
(918) 431-4112
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Tracy L Ross
- 1387 W 4th St
- Tahlequah, OK
- Zip : 74464-9766
- Fax : (918) 431-4112
- Phone : (918) 453-5554
Second Address
- Tracy L Ross
- 1387 W 4th St
- Tahlequah, OK
- Zip : 74464-9766
- Fax : (918) 431-4112
- Phone : (918) 453-5554
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A01450ANP | AR |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 09035013 | OK |
National Provider Identifier
| NPI | 1083842520 |
|---|---|
| Provider Name | Tracy L Ross |
| First Address | Tahlequah, OK 74464-9766 |
| Second Address | Tahlequah, OK 74464-9766 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2009 |
| Last Update Date | 23/07/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.