Individual
STEPHANIE ANN WHITBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1600 EAST BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8556
Mailing address
1600 EAST BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2004005170
MO
363L00000X
Nurse Practitioner
2018027760
MO
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
2018027760
MO
Other
Enumeration date
07/18/2018
Last updated
12/26/2018
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