Provider Demographics
NPI:1790754349
Name:NAUSER, TRACI L (MD)
Entity Type:Individual
Prefix:DR
First Name:TRACI
Middle Name:L
Last Name:NAUSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4840 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1601
Mailing Address - Country:US
Mailing Address - Phone:913-491-6878
Mailing Address - Fax:913-491-3172
Practice Address - Street 1:4840 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1601
Practice Address - Country:US
Practice Address - Phone:913-491-6878
Practice Address - Fax:913-491-6808
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-26188207VX0000X
MO105975207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2086200701Medicaid
MO208062224Medicaid
KS2086200701Medicaid
KS2086200701Medicaid