Individual provider · Type 1 NPI
Tracey L. Small, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Wellington, KS
NPI number
1780132449
Active
Practice location
1601 W 16th St
Wellington, KS 67152-8125
Fax (620) 326-6662
Mailing address
3460 N Ridge Rd Ste 120
Wichita, KS 67205-1223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 7729 (KS) |
| Registered Nurse | 163W00000X | 53-82899-091 (KS) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 53-82899-091 (KS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1780132449
Tracey L. Small, APRN, PMHNP-BC's National Provider Identifier is 1780132449, issued on Sep 12, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wellington, KS. The record was last updated on Mar 30, 2026.