Provider Demographics
NPI:1689458994
Name:LAUGHREY, MELISSA L (APRN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:L
Last Name:LAUGHREY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MELISSIA
Other - Middle Name:L
Other - Last Name:LAUGHREY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:1718 N PRAIRIE RUN CIR
Mailing Address - Street 2:
Mailing Address - City:MULVANE
Mailing Address - State:KS
Mailing Address - Zip Code:67110-1150
Mailing Address - Country:US
Mailing Address - Phone:620-222-1362
Mailing Address - Fax:
Practice Address - Street 1:800 MAIN ST STE 206
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-2861
Practice Address - Country:US
Practice Address - Phone:620-402-6939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-82604-082363LP0808X
KS13-83562-0822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry