Individual
STEPHANIE SUKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS-BC
Contact information
Practice address
2750 CLAY EDWARDS DR STE 410, NORTH KANSAS CITY, MO 64116-3258
(816) 471-8114
(816) 842-5342
Mailing address
2750 CLAY EDWARDS DR STE 410, NORTH KANSAS CITY, MO 64116-3258
(816) 471-8114
(816) 842-5342
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
2019019628
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2019
Last updated
08/09/2021
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