Provider Demographics
NPI:1578918538
Name:DAY, STEPHANIE ANN (APRN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:ANN
Last Name:DAY
Suffix:
Gender:F
Credentials:APRN, NP-C
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Mailing Address - Street 1:4400 BROADWAY
Mailing Address - Street 2:SUITE 540
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3498
Mailing Address - Country:US
Mailing Address - Phone:816-931-3013
Mailing Address - Fax:816-932-6211
Practice Address - Street 1:601 S. 169 HWY
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:MO
Practice Address - Zip Code:64089
Practice Address - Country:US
Practice Address - Phone:816-532-7313
Practice Address - Fax:816-251-9595
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO150973163W00000X
KS14-136663-021163W00000X
MO2016021265363LF0000X
KS53-77311-021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO150973OtherRN LICENSE