Healthcare Provider Details

I. General information

NPI: 1184566986
Provider Name (Legal Business Name): CYNTHIA ALINE STEDING ACNP-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5349 N 22ND ST STE 5
OZARK MO
65721-7627
US

IV. Provider business mailing address

1067 E MOUNT VERNON ST
NIXA MO
65714-7723
US

V. Phone/Fax

Practice location:
  • Phone: 417-818-3004
  • Fax:
Mailing address:
  • Phone: 417-818-3004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2026015209
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: