Nimmo, Stephanie L

Nimmo, Stephanie L is an individual health care provider with primary practice located at 118 W Dallas St , Buffalo MO 65622-8669. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nimmo, Stephanie L can be contacted via phone (417) 345-6101.

Contact Information

Primary practice address
118 W Dallas St Buffalo MO 65622-8669
Phone: (417) 345-6101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2005006620 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2017023153 Missouri

Profile Details

NPI number 1457881716
LBN Legal business name Nimmo, Stephanie L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2017
Last updated Jul 14th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457881716 NPPES
Missouri Other PENDING MEDICARE
Missouri MEDICAID PENDING MEDICARE

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