Individual
MELANIE LOUISE HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10222 W 21ST ST N, WICHITA, KS 67205-1836
(316) 729-1537
Mailing address
4444 101ST RD, ROCK, KS 67131-9015
(620) 262-7617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79986-032
KS
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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