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NPI Code Detail

MEDICARE: MRS. MELINDA S WELLS ARNP

MEDICARE:  MRS. MELINDA S WELLS  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
1363L00000XNurse Practitioner53-45053KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972586865
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELINDA S WELLS ARNP
Provider Business Mailing Address
First Line : 15607 W 125TH ST
Second Line :
City : OLATHE
State : KS
Zip : 66062-4991
Country : US
Telephone Number : 785-483-3333
Fax Number : 785-483-4859
Provider Business Practice Location Address
First Line : 2090 W DARTMOUTH ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-6869
Country : US
Telephone Number : 913-856-8300
Fax Number : 913-856-8711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2005
Last Update Date : 04/28/2020

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