Individual
PATRICIA WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
101 MOSAIC CT STE 300, SAINT JOSEPH, MO 64506-0015
(816) 271-7673
(816) 271-4924
Mailing address
101 MOSAIC CT STE 300, SAINT JOSEPH, MO 64506-0015
(816) 271-7673
(816) 271-4924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
142100
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100381620A
—
KS
05
—
30004579930001
—
KS
05
—
425120607
—
MO
01
—
500021684
RR MEDICARE
MO
Enumeration date
07/04/2006
Last updated
04/06/2026
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