Individual
MELANIE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2040 HUTTON RD, SUITE 102, KANSAS CITY, KS 66109-4526
(913) 299-3700
(913) 299-3050
Mailing address
2040 HUTTON RD, SUITE 102, KANSAS CITY, KS 66109-4526
(913) 299-3700
(913) 299-3050
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
53-76354-062
KS
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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