STACY CORUM

MERRIAM, KS
NPI1609275502
Former NameSTACY BLOCK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: KS  76436)
Enumeration Date2014-08-15
Last Update Date2018-07-19
Business Address
STACY CORUM WHNP-BC
7440 W FRONTAGE RD
MERRIAM, KS 66203
Phone number: 913-236-6455
Mailing Address
STACY CORUM WHNP-BC
15448 W 90TH ST
LENEXA, KS 66219-1102
Phone number: 913-980-3351
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