Individual
MRS. STEPHANIE LYNNE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8800 W 75TH ST STE 220, OVERLAND PARK, KS 66204-4001
(913) 384-5500
Mailing address
2401 GILLHAM RD, ATTN: PROVIDER ENROLLMENT DEPARTMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
14-135063-101
KS
163WP0200X
Pediatric Registered Nurse
2016008013
MO
363LP2300X
Primary Care Nurse Practitioner
Primary
53-81819-101
KS
Other
Enumeration date
12/13/2022
Last updated
12/15/2023
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