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Individual

SHARITA STUTESMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
420 W 15TH AVE, EMPORIA, KS 66801-5367
(620) 342-4864
(620) 343-3545
Mailing address
1143 ROAD 30, MADISON, KS 66860-8906
(785) 824-8017

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
144566
KS
363LF0000X
Family Nurse Practitioner
Primary
81472
KS

Other

Enumeration date
07/27/2020
Last updated
04/18/2023
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