TRACY L. MOORE

SAINT LOUIS, MO
NPI1386771046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  107629)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
-- TRACY L. MOORE CPNP
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-577-5600
Mailing Address
-- TRACY L. MOORE CPNP
1836 LACKLAND HILL PKWY ATTN CREDENTIALING DEPARTMENT
SAINT LOUIS, MO 63146-3572
Phone number: 314-989-0300