Individual
STEPHANIE ANN THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
500 MAIN ST, CABOOL, MO 65689-8104
(417) 962-3015
(417) 962-5240
Mailing address
16699 OAK HILL DRIVE RD, HOUSTON, MO 65483-2503
(417) 217-2458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022006055
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26D0679044
CLIA
MO
01
—
26D0859759
CLIA
MO
05
—
420116989
—
MO
Enumeration date
02/22/2022
Last updated
04/05/2023
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