Mr. Ilya O Stagner is a Maryville, Missouri based nurse practitioner. Active license number of Mr. Ilya O Stagner is 2024009165 for Family in Missouri. His current practice location is 114 E South Hills Dr, Maryville. Patients can reach him at 660-562-4304 or can fax him at 660-562-4308. Mr. Ilya O Stagner is FNP-C and his NPI number (Unique professional ID assigned by NPPES) is 1083376750. Mr. Ilya O Stagner has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Ilya O Stagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Ilya O Stagner
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
FNP-C
Practice Address:
114 E South Hills Dr, Maryville, Missouri, 64468-2659
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1083376750
NPI Enumeration Date:
11 Oct, 2021
NPI Last Update On:
17 Apr, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ilya O Stagner are as mentioned below.
License Number
Specialization
State
Status
2024009165
Family
Missouri
Primary
80603
Nurse Practitioner
Kansas
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Ilya O Stagner 114 E South Hills Dr, Maryville, Missouri
Zip:
64468-2659
Phone Number:
660-562-4304
Fax Number:
660-562-4308
Patients can reach Mr. Ilya O Stagner at 114 E South Hills Dr, Maryville, Missouri or can call to book an appointment on 660-562-4304.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.