Healthcare Provider Details

I. General information

NPI: 1720515497
Provider Name (Legal Business Name): STEVANI LAUREN VEAL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2017
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 SHAWNEE MISSION PKWY STE 3305
WESTWOOD KS
66205-2003
US

IV. Provider business mailing address

20 NE SAINT LUKES BLVD STE 200
LEES SUMMIT MO
64086-6001
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-1227
  • Fax:
Mailing address:
  • Phone: 816-347-5100
  • Fax: 816-347-5136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2017029819
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2017029819
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number53-78333-101
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: