| NPI | 1831907252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY V EASON Member LLC 316-841-6861 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2025-03-04 |