Healthcare Provider Details

I. General information

NPI: 1578918538
Provider Name (Legal Business Name): STEPHANIE ANN DAY APRN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2016
Last Update Date: 09/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S. 169 HWY
SMITHVILLE MO
64089
US

IV. Provider business mailing address

4400 BROADWAY SUITE 540
KANSAS CITY MO
64111-3498
US

V. Phone/Fax

Practice location:
  • Phone: 816-532-7313
  • Fax: 816-251-9595
Mailing address:
  • Phone: 816-931-3013
  • Fax: 816-932-6211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number150973
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number14-136663-021
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2016021265
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-77311-021
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: