Individual
MRS. STEPHANIE MARIE BETSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
15710 W 135TH ST, SUITE 200, OLATHE, KS 66062-1511
(913) 297-7472
(913) 764-0336
Mailing address
15710 W 135TH ST STE 200, OLATHE, KS 66062-1508
(913) 297-7472
(913) 764-0336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2022005296
MO
363LF0000X
Family Nurse Practitioner
Primary
77536
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033D00183
WPS MEDICARE
KS
05
—
201177750A
—
KS
Enumeration date
01/24/2017
Last updated
05/03/2024
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