MEDICARE: STEPHANIE BILD FNP-C

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
1	363LF0000X	Family Nurse Practitioner	76153	KS
2	363LF0000X	Family Nurse Practitioner	2012002374	MO

General Provider Information

NPI Number	:	1457623761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE BILD FNP-C

Provider Business Mailing Address
First Line	:	2800 CLAY EDWARDS DR
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3220
Country	:	US
Telephone Number	:	816-691-5198
Fax Number	:	816-346-7095

Provider Business Practice Location Address
First Line	:	2790 CLAY EDWARDS DR STE 520B
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3276
Country	:	US
Telephone Number	:	816-691-5198
Fax Number	:	816-346-7095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2012
Last Update Date	:	03/16/2026

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Directions to “ STEPHANIE BILD FNP-C” Practice Location

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