Individual
STEPHANIE BREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 STATE HIGHWAY Y, FORSYTH, MO 65653-5618
(417) 546-4200
(417) 546-4505
Mailing address
PO BOX 1240, FORSYTH, MO 65653-1240
(417) 546-4200
(417) 546-4505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021011336
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021011336
LICENSE NUMBER
MO
Enumeration date
04/05/2021
Last updated
04/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us