Individual
TRACY SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 N COLLEGE AVE STE 4, COLUMBIA, MO 65201-4797
(636) 642-1215
(573) 234-4799
Mailing address
59 COPPERAS RD, ELDON, MO 65026-4838
(785) 364-7300
(573) 234-4799
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
53-77498
KS
363LG0600X
Gerontology Nurse Practitioner
Primary
53-77498
KS
Other
Enumeration date
01/13/2017
Last updated
10/15/2024
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