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NPI Code Detail

MEDICARE: MS. LAURA A WADDELL ARNP

MEDICARE: MS. LAURA A WADDELL ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerF-132474IA
2363LW0102XWomen's Health Nurse Practitioner2024008961MO

General Provider Information

NPI Number : 1326392259
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA A WADDELL ARNP
Provider Business Mailing Address
First Line : 8600 NE 82ND ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64158-1430
Country : US
Telephone Number : 816-741-9122
Fax Number :
Provider Business Practice Location Address
First Line : 8600 NE 82ND ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64158-1430
Country : US
Telephone Number : 816-741-9122
Fax Number : 816-741-9665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2012
Last Update Date : 10/28/2024

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