| Doctor Name: | MELISSA LEE MAGWIRE |
| NPI Number: | 1205203411 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN CDE |
| License Number: | 13-58874-061 |
| Business Practice Address: | 8901 W 74th St Suite 269 Shawnee Mission, KS - 662042204 |
| Business Phone Number: | 9136767585 |
| Business Fax Number: | 9136768189 |
| Mailing Address: | 8901 W 74th St, Suite 269 SHAWNEE MISSION |
| State: | KS |
| Postal Code: | 662042204 |
| Phone Number: | 9136767585 |
| Fax Number: | 9136768189 |
| NPI Enumeration Date: | 08/24/2015 |
| NPI Last Update Date: | 08/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 13-58874-061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |