Organization
SUNFLOWER MENTAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY BACON APRN (NURSE PRACTITIONER)
(620) 249-4519
Entity
Organization
Contact information
Practice address
1915 MESSENGER CIR, PITTSBURG, KS 66762-6330
(620) 249-4519
Mailing address
PO BOX 426, PITTSBURG, KS 66762-0426
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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