Individual
STELLA A BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3238 S NATIONAL AVE, SPRINGFIELD, MO 65807-7303
(417) 885-7075
Mailing address
12850 METCALF AVE, OVERLAND PARK, KS 66213-2622
(913) 541-0230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
050791
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126814
BCBS
—
01
—
12952
BCBS
—
05
—
425841012
—
MO
Enumeration date
10/02/2006
Last updated
11/15/2011
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