Individual
MRS. STEPHANIE MARIE BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20375 W 151ST ST STE 105, OLATHE, KS 66061-5353
(913) 588-1227
Mailing address
20375 W 151ST ST, OLATHE, KS 66061-5306
(913) 445-8100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2014004534
MO
363LF0000X
Family Nurse Practitioner
Primary
53-76278
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679998181
—
MO
05
—
201098930A
—
KS
Enumeration date
02/20/2014
Last updated
06/16/2026
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