Individual
MS. TRACY ANN CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 1250, RICHMOND HEIGHTS, MO 63117-1263
(314) 328-7958
Mailing address
331 SYCAMORE POINTE DR, TROY, MO 63379-3590
(314) 602-2704
(314) 747-3338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2010010163
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020030799
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
277002208
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424249100
—
MO
Enumeration date
03/11/2010
Last updated
02/27/2025
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