Individual provider · Type 1 NPI
Traci Willard, NP
Acute Care Nurse Practitioner · Leawood, KS
NPI number
1063884708
Active
Practice location
12120 State Line Rd # 296
Leawood, KS 66209-1254
Fax (888) 779-3217
Mailing address
17755 S Laverty St
Olathe, KS 66062-4528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 102736 (MO) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 53-77126-051 (KS) |
Acute Care Nurse Practitioner: Definition to come...
Other acute care nurse practitioner providers in Leawood
About NPI 1063884708
Traci Willard, NP's National Provider Identifier is 1063884708, issued on Oct 21, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Leawood, KS. The record was last updated on Aug 26, 2025.