Individual
MS. MAURIE DOLORES TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
10426 BAUR BLVD, SAINT LOUIS, MO 63132-1905
(314) 925-0903
(314) 764-2279
Mailing address
10426 BAUR BLVD, SAINT LOUIS, MO 63132-1905
(314) 925-0903
(314) 764-2279
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2010012804
MO
Other
Enumeration date
05/27/2010
Last updated
04/29/2026
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