Individual
STEPHANIE HOFF GRIESBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5100
(816) 302-9939
Mailing address
P.O. BOX 804435, KANSAS CITY, MO 64180-4435
(816) 701-5100
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021004837
MO
208000000X
Pediatrics Physician
53-79907-022
KS
363LP0200X
Pediatric Nurse Practitioner
Primary
2021004837
MO
363LP0200X
Pediatric Nurse Practitioner
53-79907-022
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021004837
—
MO
05
—
53-79907-022
—
KS
Enumeration date
01/26/2021
Last updated
04/25/2022
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