Individual
NANCY STULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5419 NE HIGHWAY 103, WEIR, KS 66781-4124
(620) 396-8439
Mailing address
5419 NE HIGHWAY 103, PO BOX 276, WEIR, KS 66781-4124
(620) 396-8439
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
117519
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108602A
BCBS
MO
Enumeration date
03/02/2006
Last updated
07/08/2007
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