Individual
MELISSA ELAINE DEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
5808 VIRGINIA AVE, KANSAS CITY, MO 64110-3262
(816) 286-3490
Mailing address
5808 VIRGINIA AVE, KANSAS CITY, MO 64110-3262
(816) 286-3490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2017022403
MO
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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