Individual
TRACIE WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10000 COLLEGE BLVD STE 250, OVERLAND PARK, KS 66210-1435
(913) 653-3614
(913) 232-7742
Mailing address
518 BRIAN AVE UNIT 2617, SILVERTHORNE, CO 80498-5111
(913) 526-5709
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2023039618
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-81354-121
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0997678-NP
CO
Other
Enumeration date
06/27/2022
Last updated
01/09/2024
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