Waddell, Patricia
Waddell, Patricia is an individual health care provider with primary practice located at 5301 Faraon St Ste 200 , Saint Joseph MO 64506-3829. 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, Patricia can be contacted via phone (816) 271-7673.Contact Information
Primary practice address
5301 Faraon St Ste 200
Saint Joseph MO 64506-3829
Phone: (816) 271-7673
Fax: (816) 271-4026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 142100 | Missouri |
Profile Details
| NPI number | 1245260058 |
|---|---|
| LBN Legal business name | Waddell, Patricia |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Sep 27th, 2021 - about 4 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 | 1245260058 | NPPES |
| Missouri | Other | 500021684 | RR MEDICARE |
| Missouri | MEDICAID | 425120607 | RR MEDICARE |
| Missouri | MEDICAID | 100381620A | RR MEDICARE |
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