Individual
STEPHANIE VANAUSDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
10951 LAKEVIEW AVE, LENEXA, KS 66219-1331
(913) 322-7408
(913) 322-7410
Mailing address
10951 LAKEVIEW AVE, LENEXA, KS 66219-1331
(913) 322-7408
(913) 322-7410
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2016005316
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
TO BE ISSUED
KS
Other
Enumeration date
02/18/2016
Last updated
11/22/2023
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