Individual
MELISSA JEAN GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, OCN, FNP
Contact information
Practice address
8700 N GREEN HILLS RD, KANSAS CITY, MO 64154-1910
(913) 574-3520
(913) 574-2612
Mailing address
8700 N GREEN HILLS RD, KANSAS CITY, MO 64154-1910
(913) 574-2520
(913) 274-3656
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
2014024546
MO
363LF0000X
Family Nurse Practitioner
Primary
2019023268
MO
363LF0000X
Family Nurse Practitioner
53-80212-062
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201246680A
—
KS
05
—
420072547
—
MO
Enumeration date
06/03/2019
Last updated
05/29/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us