Individual provider · Type 1 NPI

Tracy Sprague

Gerontology Nurse Practitioner · Columbia, MO

NPI number 1366988339 Active

Practice location

910 N College Ave Ste 4
Columbia, MO 65201-4797

Fax (573) 234-4799

Mailing address

59 Copperas Rd
Eldon, MO 65026-4838

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X53-77498 (KS)
Gerontology Nurse Practitioner Primary 363LG0600X53-77498 (KS)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1366988339

Tracy Sprague's National Provider Identifier is 1366988339, issued on Jan 13, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Columbia, MO. The record was last updated on Oct 15, 2024.