TRACY MUMBULO
NPI 1699130963
Licensed Practical Nurse in Jber, AK

Q: What is Tracy Mumbulo's NPI number?

The NPI number for Tracy Mumbulo is 1699130963. It was assigned to this individual provider in the NPPES registry on December 30, 2015.

Q: What is Tracy Mumbulo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Mumbulo was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 30, 2015

208 AKUTAN AVE UNIT A, JBER, AK 99505(919) 888-2291 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tracy Mumbulo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY MUMBULO (NPI 1699130963) is an individual licensed practical nurse in Jber, Alaska, licensed in Alaska (105653) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1699130963

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTRACY MUMBULO

Location Address208 AKUTAN AVE UNIT AJber, AK 99505

Mailing Address208 Akutan Ave Unit AJber, AK 99505 · (919) 888-2291

Phone(919) 888-2291

Sole ProprietorYes

Enumeration DateDecember 30, 2015

✔ NPI 1699130963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AK · 105653

Definition

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.

208 AKUTAN AVE UNIT A, Jber, AK 99505

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Mumbulo's NPI number?

The NPI number for Tracy Mumbulo is 1699130963. It was assigned to this individual provider in the NPPES registry on December 30, 2015.

Where is Tracy Mumbulo located?

Tracy Mumbulo practices at 208 Akutan Ave Unit A, Jber, AK 99505. The listed phone number is (919) 888-2291.

What is Tracy Mumbulo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tracy Mumbulo was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.