Waddell, Diane E
Waddell, Diane E is an individual health care provider with primary practice located at 5514 Corporate Dr Ste 120 , Saint Joseph MO 64507-7754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Waddell, Diane E can be contacted via phone (816) 271-7169.Contact Information
Primary practice address
5514 Corporate Dr Ste 120
Saint Joseph MO 64507-7754
Phone: (816) 271-7169
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 121001 | Missouri |
Profile Details
| NPI number | 1891728408 |
|---|---|
| LBN Legal business name | Waddell, Diane E |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Mar 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891728408 | NPPES |
| Kansas | MEDICAID | 200265100A | |
| Kansas | Other | 10001677501 | |
| Kansas | MEDICAID | 201060639 |
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