Individual
STEPHANIE L. UNGASHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
16663 MIDLAND DR # 200, SHAWNEE, KS 66217-3042
(913) 227-4618
Mailing address
16663 MIDLAND DR # 200, SHAWNEE, KS 66217-3042
(913) 227-4618
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
132331
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
54704
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100356590A
—
KS
05
—
914810700
—
MO
Enumeration date
12/20/2005
Last updated
06/22/2022
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