Individual provider · Type 1 NPI

Ilya O. Stagner, FNP-C

Family Nurse Practitioner · Maryville, MO

NPI number 1083376750 Active

Practice location

114 E South Hills Dr
Maryville, MO 64468-2659

Fax (660) 562-4308

Other practice locations

  • 300 Utah St, Hiawatha, KS 66434-2314 · (785) 742-6422

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X80603 (KS)
Family Nurse Practitioner Primary 363LF0000X2024009165 (MO)

Family Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1083376750

Ilya O. Stagner, FNP-C's National Provider Identifier is 1083376750, issued on Oct 11, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maryville, MO. The record was last updated on Apr 17, 2025.