Individual
STEPHANIE RAYCHAEL HULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-FNP
Contact information
Practice address
9119 W 74TH ST STE 350, SHAWNEE MISSION, KS 66204-2268
(913) 632-9400
(913) 632-9444
Mailing address
9119 W 74TH ST STE 350, SHAWNEE MISSION, KS 66204-2268
(913) 632-9400
(913) 632-9444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2020042549
MO
363LF0000X
Family Nurse Practitioner
Primary
53-81061
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420092300
—
MO
Enumeration date
12/29/2020
Last updated
05/17/2022
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