Individual
TRACY A COLTHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4801 COLLEGE BLVD, LEAWOOD, KS 66211-1628
(913) 721-3387
(816) 875-2598
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(913) 721-3387
(816) 875-2598
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2017011733
MO
363LG0600X
Gerontology Nurse Practitioner
53-76505-012
KS
Other
Enumeration date
09/19/2014
Last updated
01/20/2025
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