Provider Demographics
NPI:1356678288
Name:ROEHM, STEPHANIE FRANCES (ARNP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:FRANCES
Last Name:ROEHM
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Gender:F
Credentials:ARNP
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Mailing Address - Street 1:830 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:KS
Mailing Address - Zip Code:66030-1287
Mailing Address - Country:US
Mailing Address - Phone:913-856-4437
Mailing Address - Fax:913-856-4330
Practice Address - Street 1:10870 BENSON DR STE 2160
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1509
Practice Address - Country:US
Practice Address - Phone:833-357-3227
Practice Address - Fax:855-299-2184
Is Sole Proprietor?:No
Enumeration Date:2009-11-13
Last Update Date:2021-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS53-74992-071363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner