Individual
MRS. STACEY PAGE SHOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
12541 FOSTER ST, SUITE 260, OVERLAND PARK, KS 66213-2630
(913) 906-0900
(913) 906-0909
Mailing address
12541 FOSTER ST, SUITE 260, OVERLAND PARK, KS 66213-2630
(913) 906-0900
(913) 906-0909
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
148213
MO
363LP0200X
Pediatric Nurse Practitioner
45904
KS
Other
Enumeration date
09/20/2006
Last updated
08/13/2009
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