Individual
MELANIE MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
210 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(888) 256-3814
(888) 256-9054
Mailing address
PO BOX 5, DONIPHAN, MO 63935-0005
(573) 996-4017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
2016029751
MO
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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