Healthcare Provider Details

I. General information

NPI: 1013520758
Provider Name (Legal Business Name): MELISSA CRANFIELD AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 N RIVERSIDE RD STE 200
SAINT JOSEPH MO
64507-2553
US

IV. Provider business mailing address

802 N RIVERSIDE RD STE 200
SAINT JOSEPH MO
64507-2553
US

V. Phone/Fax

Practice location:
  • Phone: 816-271-6666
  • Fax: 816-271-1300
Mailing address:
  • Phone: 816-271-6666
  • Fax: 816-271-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number2020027626
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: