Individual
STEPHANIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
16659 E 23RD ST S, INDEPENDENCE, MO 64055-1922
(816) 207-4808
Mailing address
16659 E 23RD ST S, INDEPENDENCE, MO 64055-1922
(816) 207-4808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016035607
MO
363LF0000X
Family Nurse Practitioner
53-78187-011
KS
Other
Enumeration date
09/29/2016
Last updated
08/18/2022
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