IndividualActive
Andrea Stafos, ANP-BC
NPI 1700154374 · Nurse Practitioner · Overland Park, KS
Provider details
- NPI number
- 1700154374
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 75590 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11791 W 112th St
Suite 100
Overland Park, KS 66210-2737
Phone: (913) 888-3338
Fax: (913) 696-1908
Approximate (ZIP-level) locationGet directions
Mailing address
11791 W 112th St
Overland Park, KS 66210-2737
Registry dates
- Enumerated
- 2011-12-09
- Last updated
- 2013-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.