Individual
MRS. STACEY ANN QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5830 NW BARRY RD, KANSAS CITY, MO 64154-2778
(816) 880-6444
(816) 880-6740
Mailing address
5830 NW BARRY RD, KANSAS CITY, MO 64154-2778
(816) 880-6444
(816) 880-6740
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2003016623
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780785741
—
MO
05
—
200688360A
—
KS
05
—
910910504
—
MO
01
—
P00914781
RR MEDICARE
MO
Enumeration date
09/25/2006
Last updated
02/08/2018
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