Pottebaum, Melissa Ann

Pottebaum, Melissa Ann is an individual health care provider with primary practice located at 5844 Nw Barry Rd Ste 110, Kansas City MO 64154-1465. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Pottebaum, Melissa Ann can be contacted via phone (816) 880-6100.

Contact Information

Primary practice address
5844 Nw Barry Rd Ste 110 Kansas City MO 64154-1465
Phone: (816) 880-6100
Fax: (816) 746-1226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 145067 Missouri

Profile Details

NPI number 1518299973
LBN Legal business name Pottebaum, Melissa Ann
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2010
Last updated Feb 7th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518299973 NPPES
Missouri MEDICAID 1518299973

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