Individual
TATIANA STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7930 MARSHALL DR STE 100, LENEXA, KS 66214-1562
(833) 546-2814
Mailing address
7930 MARSHALL DR STE 100, LENEXA, KS 66214-1562
(833) 546-2814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2020022574
MO
363LF0000X
Family Nurse Practitioner
Primary
53-79613-072
KS
Other
Enumeration date
09/21/2020
Last updated
10/27/2023
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