Provider Demographics
NPI:1306245006
Name:WOODS, MELISSA SUE (APRN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:SUE
Last Name:WOODS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 W 74TH ST STE 269
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2202
Mailing Address - Country:US
Mailing Address - Phone:913-632-9810
Mailing Address - Fax:913-632-9828
Practice Address - Street 1:8901 W 74TH ST STE 269
Practice Address - Street 2:
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204-2202
Practice Address - Country:US
Practice Address - Phone:913-632-9810
Practice Address - Fax:913-632-9828
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS76496363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health