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NPI Code Detail

MEDICARE: STEPHANY BOAN

MEDICARE: STEPHANY BOAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner80084KS

General Provider Information

NPI Number : 1174191704
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANY BOAN
Provider Business Mailing Address
First Line : 4321 WASHINGTON ST STE 4000
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4321 WASHINGTON ST STE 4000
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5965
Country : US
Telephone Number : 816-932-6239
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2021
Last Update Date : 04/10/2026

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Directions to “ STEPHANY BOAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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