MEDICARE: MRS. STEPHANIE R DUARTE MSN,FNP,BC

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	140945	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	706F445	OTHER		MEDICARE INDIVIDUAL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013054717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE R DUARTE MSN,FNP,BC

Provider Business Mailing Address
First Line	:	1601 N STATE ROUTE 7
Second Line	:
City	:	PLEASANT HILL
State	:	MO
Zip	:	64080-1945
Country	:	US
Telephone Number	:	816-540-2111
Fax Number	:	816-540-6065

Provider Business Practice Location Address
First Line	:	1601 N STATE ROUTE 7
Second Line	:
City	:	PLEASANT HILL
State	:	MO
Zip	:	64080-1945
Country	:	US
Telephone Number	:	816-540-2111
Fax Number	:	816-540-6065

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	01/20/2010

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