Stacy Reyes, NP
Nurse Practitioner in Overland Park, KS. Individual provider (NPI-1).
NPI number1124097464
StatusActive
Last updated in NPPESJan 7, 2020
Details
- NPI
- 1124097464
- Entity type
- Individual (NPI-1)
- Name
- Stacy Reyes
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2006
- Certification date
- Jan 7, 2020
- Last updated
- Jan 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 45616 | KS | Yes |
| 363LF0000X | Nurse Practitioner, Family | 45616 | KS |
Practice location
9393 W 110th St Ste 500527Overland Park, KS 66210-1442
Phone 913-800-6971 · Fax 855-845-1844
Mailing address
4200 Little Blue Pkwy Ste 320Independence, MO 64057-8324
Phone 816-867-4140 · Fax 913-839-4197
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