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Traci Renee Wilmarth, CRNA

Nurse Anesthetist, Certified Registered in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1003245481
StatusActive
Last updated in NPPESJul 22, 2015

Details

NPI
1003245481
Entity type
Individual (NPI-1)
Name
Traci Renee Wilmarth
Credential
CRNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 5, 2013
Last updated
Jul 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered100545OKYes

Practice location

9713 Lakecrest Dr
Oklahoma City, OK 73159-6777

Phone 405-213-5351

Mailing address

9713 Lakecrest Dr
Oklahoma City, OK 73159-6777

Phone 405-213-5351

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