Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 2018035609 | MO |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 2011022946 | MO |
NPI | 1023396314 |
---|---|
Provider Name | Adrienne E Menghini |
First Address | Blue Springs, MO 64015-7242 |
Second Address | Blue Springs, MO 64015-7242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2011 |
Last Update Date | 09/10/2018 |