Individual
STACY CORUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
7440 W FRONTAGE RD, MERRIAM, KS 66203
(913) 236-6455
Mailing address
15448 W 90TH ST, LENEXA, KS 66219-1102
(913) 980-3351
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
76436
KS
Other
Enumeration date
08/15/2014
Last updated
07/19/2018
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