Individual provider · Type 1 NPI

Andrea Stafos, ANP-BC

Nurse Practitioner · Overland Park, KS

NPI number 1700154374 Active

Practice location

11791 W 112th St, Suite 100
Overland Park, KS 66210-2737

Fax (913) 696-1908

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X75590 (KS)
Nurse Practitioner 363L00000X2012036926 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1700154374

Andrea Stafos, ANP-BC's National Provider Identifier is 1700154374, issued on Dec 9, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Overland Park, KS. The record was last updated on May 10, 2013.