Individual
MELISSA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1412 NW VIVION RD, KANSAS CITY, MO 64118-4555
(816) 214-5276
(855) 843-8341
Mailing address
1412 NW VIVION RD, KANSAS CITY, MO 64118-4555
(816) 214-5276
(855) 843-8341
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0991112
CO
363LF0000X
Family Nurse Practitioner
Primary
2017036846
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24824372
—
CO
01
—
482258YRAQ
MEDICARE PTAN
CO
Enumeration date
04/14/2014
Last updated
12/13/2023
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