Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | 2020027626 | MO |
NPI | 1013520758 |
---|---|
Provider Name | Melissa Cranfield |
First Address | Saint Joseph, MO 64507-2553 |
Second Address | North Kansas City, MO 64116-3256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2020 |
Last Update Date | 04/11/2020 |