Individual
MRS. STEPHANIE R DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,FNP,BC
Contact information
Practice address
1601 N STATE ROUTE 7, PLEASANT HILL, MO 64080-1945
(816) 540-2111
(816) 540-6065
Mailing address
1601 N STATE ROUTE 7, PLEASANT HILL, MO 64080-1945
(816) 540-2111
(816) 540-6065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
140945
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598296101
—
MO
01
—
706F445
MEDICARE INDIVIDUAL
—
Enumeration date
01/31/2007
Last updated
01/20/2010
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