Basic Information
| Provider Information | |||||||||
| NPI: | 1013520758 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CRANFIELD | ||||||||
| FirstName: | MELISSA | ||||||||
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| Credential: | AGNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 802 N RIVERSIDE RD STE 200 | ||||||||
| Address2: | |||||||||
| City: | SAINT JOSEPH | ||||||||
| State: | MO | ||||||||
| PostalCode: | 645072553 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8162716666 | ||||||||
| FaxNumber: | 8162711300 | ||||||||
| Practice Location | |||||||||
| Address1: | 2750 CLAY EDWARDS DR STE 304 | ||||||||
| Address2: | |||||||||
| City: | NORTH KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641163256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8168425555 | ||||||||
| FaxNumber: | 8168428888 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2020 | ||||||||
| LastUpdateDate: | 11/04/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LG0600X | 2020027626 | MO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.