Individual
STEPHANIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
10977 GRANADA LN, SUITE 105, LEAWOOD, KS 66211-1468
(913) 215-5008
Mailing address
PO BOX 875743, KANSAS CITY, MO 64187-5743
(913) 215-5008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010040686
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016008577
—
MO
Enumeration date
03/23/2016
Last updated
10/07/2016
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