Individual
MRS. MARLA LYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17067 S OUTER RD STE 100, BELTON, MO 64012-2100
(816) 331-4000
Mailing address
5409 N WYOMING ST, KANSAS CITY, MO 64118-3102
(816) 808-8338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
113908
NE
363LF0000X
Family Nurse Practitioner
Primary
2010000564
MO
363LF0000X
Family Nurse Practitioner
75019
KS
Other
Enumeration date
09/24/2009
Last updated
10/17/2024
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