Organization Name: | STEPHANIE A. ROSENHAGEN, ARNP, LLC |
NPI Number: | 1730130899 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE ANN STAATS (OWNER) |
Mailing Address: | 103 N. Main Cheney |
State: | KS US |
Postal Code: | 67025 |
Phone Number: | 3165423000 |
Fax Number: | 3165423001 |
NPI Enumeration Date: | 05/13/2006 |
NPI Last Update Date: | 12/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |