Healthcare Provider Details

I. General information

NPI: 1679304752
Provider Name (Legal Business Name): MELISA MILLER - VANAMBURGH SBD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N CURTIS ST
OLATHE KS
66061-3321
US

IV. Provider business mailing address

501 N CURTIS ST
OLATHE KS
66061-3321
US

V. Phone/Fax

Practice location:
  • Phone: 913-808-8557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: