Johnna L Bodenstab in Independence - Adult Health
Johnna L Bodenstab - NPI 1619968070
Johnna L Bodenstab is a Adult Health in Independence, Missouri. Johnna L Bodenstab practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Johnna L Bodenstab is 1619968070. The last update date is 2007-08-20.
Johnna L Bodenstab's current location address is 17611 East 24 Highway, Independence, Missouri. You can contact this provider via phone number 8162577787 and fax number 8162576948. The mailing address for Johnna L Bodenstab is 17611 East 24 Highway, Independence, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnna L Bodenstab |
|---|---|
| Address | 17611 East 24 Highway, Independence, Missouri |
| Phone Number | 8162577787 |
| Fax Number | 8162576948 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1619968070 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2007-08-20 |
Provider Mailing Address Detail
| Address | 17611 East 24 Highway |
|---|---|
| City | Independence |
| State | Missouri (MO) |
| Post Code | 640561823 |
| Phone Number | 8162577787 |
| Fax Number | 8162576948 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 100447 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000C892 | MO | MEDICARE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Johnna L Bodenstab by the Centers for Medicare & Medicaid Services (CMS)?
The Johnna L Bodenstab has been assigned the NPI (National Provider Identifier) 1619968070. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Johnna L Bodenstab's facilities are situated?
The facilities of Johnna L Bodenstab are physically located at the following address: 17611 East 24 Highway, Independence, MO, 640561823.
What is Johnna L Bodenstab's area of expertise and its corresponding taxonomy classification?
The Johnna L Bodenstab's field of specialization is Adult Health, and it falls under the taxonomy code 363La2200X, which categorizes healthcare providers based on their areas of practice.
When did Johnna L Bodenstab receive its 1619968070 assignment?
The Johnna L Bodenstab was assigned its 1619968070 on 2005-11-03, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Johnna L Bodenstab, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Johnna L Bodenstab, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-20.
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