Individual provider · Type 1 NPI
Maurie Dolores Tracy, ANP-BC
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1053630103
Active
Practice location
10426 Baur Blvd
St. Louis, MO 63132-1905
Fax (314) 764-2279
Other practice locations
- 15201 Olive Blvd, Chesterfield, MO 63017-1810 · (314) 925-0903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2010012804 (MO) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1053630103
Maurie Dolores Tracy, ANP-BC's National Provider Identifier is 1053630103, issued on May 27, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Apr 29, 2026.