Individual
MELINDA HEUTINCK
Active
Individual
MELINDA HEUTINCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C, PMHNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
146726
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
146726
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
146726
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110035
BCBS KS GROUP
KS
01
—
06215024
BCBS KCMO GROUP
MO
01
—
09841048
BCBS KCMO
MO
01
—
146726
MO STATE BOARD OF NURSING
MO
Enumeration date
03/21/2008
Last updated
08/27/2026
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