Individual
MS. MELISSA KAY LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5417 JOHNSON DR, MISSION, KS 66205-2912
(913) 261-9479
Mailing address
5417 JOHNSON DR, MISSION, KS 66205-2912
(913) 261-9479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2010039079
MO
363LF0000X
Family Nurse Practitioner
Primary
53-75864-101
KS
363LF0000X
Family Nurse Practitioner
75864
KS
363LF0000X
Family Nurse Practitioner
A154074
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88
NONE
—
Enumeration date
11/23/2010
Last updated
02/07/2023
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