Individual
TRACY GIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19550 E 39TH ST S, SUITE 245, INDEPENDENCE, MO 64057-2358
(816) 373-0655
(816) 478-6374
Mailing address
19550 E 39TH ST S, SUITE 245, INDEPENDENCE, MO 64057-2358
(816) 373-0655
(816) 478-6374
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015028843
MO
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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