Individual
TANIS MARIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3432
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
136230
MO
363LF0000X
Family Nurse Practitioner
45544
KS
Other
Enumeration date
04/25/2006
Last updated
02/01/2024
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