Provider Demographics
NPI:1588156582
Name:MENDENHALL, DARCIE (RN, CPM, LDEM)
Entity type:Individual
Prefix:
First Name:DARCIE
Middle Name:
Last Name:MENDENHALL
Suffix:
Gender:F
Credentials:RN, CPM, LDEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 N BELLEVIEW AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-1507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4444 N BELLEVIEW AVE STE 204
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-1507
Practice Address - Country:US
Practice Address - Phone:816-659-2305
Practice Address - Fax:816-866-9251
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay
Yes176B00000XOther Service ProvidersMidwife