Doctor Name: | ADRIENNE E MENGHINI |
NPI Number: | 1023396314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.P.N.P. |
License Number: | 2011022946 |
Business Practice Address: | 205 Nw R. D. Mize Rd Ste 304 Blue Springs, MO - 64014 |
Business Phone Number: | 8162284770 |
Business Fax Number: | 8162281156 |
Mailing Address: | 205 Nw R. D. Mize Rd, Ste 304 BLUE SPRINGS |
State: | MO |
Postal Code: | 64014 |
Phone Number: | 8162284770 |
Fax Number: | 8162281156 |
NPI Enumeration Date: | 08/03/2011 |
NPI Last Update Date: | 08/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 2011022946 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |