Individual
TRACY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 889-4874
(816) 889-1847
Mailing address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 889-4874
(816) 889-1847
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2014029927
MO
363LW0102X
Women's Health Nurse Practitioner
53-76560
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982009312
—
MO
01
—
2014029927
APRN LICENSE
MO
01
—
53-76560
APRN LICENSE
KS
Enumeration date
10/28/2014
Last updated
10/12/2016
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