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Individual

TRACEY L. SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP-BC

Contact information

Practice address
1601 W 16TH ST, WELLINGTON, KS 67152-8125
(620) 326-7448
(620) 326-6662
Mailing address
3460 N RIDGE RD STE 120, WICHITA, KS 67205-1223
(316) 272-0800
(316) 272-0600

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
7729
KS
1041C0700X
Clinical Social Worker
163W00000X
Registered Nurse
51535
OK
163W00000X
Registered Nurse
53-82899-091
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
51535
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-82899-091
KS

Other

Enumeration date
09/12/2016
Last updated
03/30/2026
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