Healthcare Provider Details

I. General information

NPI: 1831546423
Provider Name (Legal Business Name): DANIELLE ELIZABETH MELTON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE ELIZABETH BERG APRN

II. Dates (important events)

Enumeration Date: 05/24/2016
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3508 N BELT HWY APT A
SAINT JOSEPH MO
64506-1345
US

IV. Provider business mailing address

3508 N BELT HWY APT A
SAINT JOSEPH MO
64506-1345
US

V. Phone/Fax

Practice location:
  • Phone: 816-205-4123
  • Fax: 816-205-4129
Mailing address:
  • Phone: 816-205-4123
  • Fax: 816-205-4129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2016019532
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-77273
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: