Individual
STEPHANIE A STAATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7707 E CENTRAL AVE, WICHITA, KS 67206-2100
(316) 651-2511
Mailing address
7707 E CENTRAL AVE, WICHITA, KS 67206-2100
(316) 651-2511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44781
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100349460D
—
KS
01
—
P00652247
MEDICARE RAILROAD
KS
Enumeration date
02/02/2006
Last updated
04/22/2025
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