Individual
STACEY A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2650 SHAWNEE MISSION PKWY, WESTWOOD, KS 66205-2003
(913) 588-1227
Mailing address
2330 SHAWNEE MISSION PKWY, WESTWOOD, KS 66205-2005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
120386
KS
163W00000X
Registered Nurse
14-120386
KS
363LF0000X
Family Nurse Practitioner
Primary
53-85445
KS
Other
Enumeration date
10/24/2024
Last updated
06/05/2026
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