Individual
MRS. TRACY JANE GRAEBENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5701 W 119TH ST STE 425, OVERLAND PARK, KS 66209-3755
(913) 721-3387
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(816) 478-4200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2020010292
MO
363LF0000X
Family Nurse Practitioner
2020010917
MO
363LF0000X
Family Nurse Practitioner
Primary
53-7948-122
KS
Other
Enumeration date
10/22/2015
Last updated
07/25/2024
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