Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 53-46042-101 | KS |
NPI | 1124328976 |
---|---|
Provider Name | Stephanie Junghans |
First Address | Wellsville, KS 66092-8790 |
Second Address | Overland Park, KS 66215-2306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2010 |
Last Update Date | 27/03/2012 |