Individual
MRS. TRACY A COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
11 GARVEY PKWY, SAINT CHARLES, MO 63303-5614
(636) 441-7280
(636) 939-9208
Mailing address
PO BOX 7412031, CHICAGO, IL 60674-2031
(636) 441-7280
(636) 939-9208
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
155039
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420003482
—
MO
Enumeration date
04/17/2008
Last updated
04/18/2025
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