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NPI Code Detail

MEDICARE: DR. STEPHANIE PRYOR DNP

MEDICARE: DR. STEPHANIE PRYOR DNP
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
1363L00000XNurse Practitioner53-81343-062KS
2207Q00000XFamily Medicine Physician81343KS

General Provider Information

NPI Number : 1073221628
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE PRYOR DNP
Provider Business Mailing Address
First Line : 325 MAINE STREET
Second Line : MSO LIBRARY
City : LAWRENCE
State : KS
Zip : 66044
Country : US
Telephone Number : 785-505-2988
Fax Number : 785-505-5228
Provider Business Practice Location Address
First Line : 4525 W 6TH ST STE 100
Second Line :
City : LAWRENCE
State : KS
Zip : 66049-7700
Country : US
Telephone Number : 785-505-5160
Fax Number : 785-505-5282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2022
Last Update Date : 12/19/2025

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Directions to “ DR. STEPHANIE PRYOR DNP” Practice Location

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