Individual
TRACY A WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2521 GLENN HENDREN DR STE 310, LIBERTY, MO 64068-3388
(816) 415-3420
(816) 781-3517
Mailing address
2609 GLENN HENDREN DR, LIBERTY, MO 64068-3313
(816) 407-4555
(816) 407-2362
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2016005730
MO
Other
Enumeration date
02/25/2016
Last updated
04/12/2018
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