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Individual

STEPHANIE LEANNE BROKAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-0932
(913) 945-6074
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-0932
(913) 945-6074

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14120393061
KS
390200000X
Student in an Organized Health Care Education/Training Program
2006020125
MO

Other

Enumeration date
12/17/2012
Last updated
12/02/2014
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