Healthcare Provider Details

I. General information

NPI: 1194421883
Provider Name (Legal Business Name): ASHLEY M STUTZMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2023
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 FOXRIDGE DR
MISSION KS
66202-1554
US

IV. Provider business mailing address

790 N RIDGEVIEW RD
OLATHE KS
66061-2900
US

V. Phone/Fax

Practice location:
  • Phone: 816-221-0305
  • Fax:
Mailing address:
  • Phone: 913-297-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number53-81633-032
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number5381633032
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: