Individual
MRS. STACY LOC ROHRBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
889 WHITE DIAMOND CT, SPRINGFIELD, MO 65809
(417) 880-7570
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2000173260
MO
363L00000X
Nurse Practitioner
Primary
2016020583
MO
363LF0000X
Family Nurse Practitioner
2016020583
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265985543
—
MO
05
—
420034987
—
MO
Enumeration date
08/03/2016
Last updated
07/21/2022
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