Individual
TRACY KOURAJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
917 VILLA GRAN WAY, FENTON, MO 63026-6311
(314) 640-2033
Mailing address
917 VILLA GRAN WAY, FENTON, MO 63026-6311
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2025031278
MO
Other
Enumeration date
11/10/2025
Last updated
11/19/2025
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