Individual
STEPHANIE LEILANI TRUSSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-4686
(417) 347-6636
Mailing address
PO BOX 3930, JOPLIN, MO 64803-3930
(417) 347-4686
(417) 347-6636
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2001031005
MO
367500000X
Certified Registered Nurse Anesthetist
R0062957
OK
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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