Individual
MRS. MELANNIE MICHELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15431 ANDREWS RD, KANSAS CITY, MO 64147-1221
(816) 843-3677
(816) 843-3668
Mailing address
245 SE FLORENCE AVE, LEES SUMMIT, MO 64063-2843
(816) 289-4817
(816) 843-3668
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN00842
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN00482
NURSING LICENSE
MO
Enumeration date
10/20/2006
Last updated
07/08/2007
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