MEDICARE: MELANIE LAUGHLIN APRN, NP-C

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
1	363LF0000X	Family Nurse Practitioner	2024012232	MO
2	363LF0000X	Family Nurse Practitioner	105464	OK

General Provider Information

NPI Number	:	1689154965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE LAUGHLIN APRN, NP-C

Provider Business Mailing Address
First Line	:	17700 E 39TH ST S
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-6725
Country	:	US
Telephone Number	:	816-393-0250
Fax Number	:

Provider Business Practice Location Address
First Line	:	17700 E 39TH ST S
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-6725
Country	:	US
Telephone Number	:	816-393-0250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2018
Last Update Date	:	05/28/2026

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