Individual
STEPHANIE POLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC, RN, CPN
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
1212 NE OAKWOOD DR, LEES SUMMIT, MO 64086-3000
(816) 916-6071
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2023035001
MO
Other
Enumeration date
09/25/2023
Last updated
04/21/2025
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