Individual
KAREN LEE TRACY
Active
Individual
KAREN LEE TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN147998
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010626
GROUP PTAN
MO
01
—
1609095975
SITE NPI
MO
05
—
425050556
—
MS
01
—
835650626
PTAN
MO
Enumeration date
08/12/2006
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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