Individual
TRACY L STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
302 N HOSPITAL DR, GIRARD, KS 66743-2000
(620) 724-8291
(620) 724-6332
Mailing address
302 N HOSPITAL DR, GIRARD, KS 66743-2000
(620) 724-8291
(620) 724-6332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75031
KS
363LF0000X
Family Nurse Practitioner
TMP139428
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TMP139428
TEMPORARY LICENSE
KS
Enumeration date
08/21/2009
Last updated
06/16/2014
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