Steffany R Brockman, RN
Clinical Nurse Specialist, Adult Health in Overland Park, KS. Individual provider (NPI-1).
NPI number1114366754
StatusActive
Last updated in NPPESJul 14, 2015
Details
- NPI
- 1114366754
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Steffany R Brockman
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2013
- Last updated
- Jul 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist, Adult Health | 2014036817 | MO | Yes |
| 163W00000X | Registered Nurse | 2002017255 | MO | |
| 163W00000X | Registered Nurse | 14107455061 | KS | |
| 363LA2200X | Nurse Practitioner, Adult Health | 53-76600-061 | KS | |
| 363LF0000X | Nurse Practitioner, Family | 2014036817 | MO |
Other names
- Steffany R Wooderson (Professional Name)
Practice location
11661 College BlvdOverland Park, KS 66210-4107
Phone 913-432-8400 · Fax 913-432-8402
Mailing address
1253 E Walnut StIndependence, MO 64050-4162
Phone 816-260-6667
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