Individual
STACY LEIGH SEDERWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2840 BAGNELL DAM BLVD, LAKE OZARK, MO 65049-9732
(573) 480-8888
(502) 399-8745
Mailing address
2840 BAGNELL DAM BLVD, LAKE OZARK, MO 65049-9732
(573) 480-8888
(502) 399-8745
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015001255
MO
Other
Enumeration date
01/20/2015
Last updated
11/26/2025
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