person
Ms. Johnna L Bodenstab, ARNP
Family Nurse Practitioner in Independence, Missouri
NPI 1619968070

Johnna L Bodenstab is a Family Nurse Practitioner based in Independence, MO and is specialized in Family. Johnna L Bodenstab practices in Independence, MO and has the professional credentials of ARNP. The NPI Number for Johnna L Bodenstab is 1619968070 and holds a License No. 100447 (Missouri).

The current practice location address for Johnna L Bodenstab is 17611 East 24 Highway, Independence, MO and can be reached out via phone at 816-257-7787 and via fax at 816-257-6948. You can also correspond with Johnna L Bodenstab through the mailing address at 17611 EAST 24 HIGHWAY, INDEPENDENCE, MO - 64056-1823 (mailing address contact number: 816-257-7787).

Location: 17611 East 24 Highway, Independence, MO, 64056-1823
person
Provider Profile Details
NPI Number
1619968070
Provider Name
Johnna L Bodenstab
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
17611 East 24 Highway, Independence, MO, 64056-1823
Phone Number
816-257-7787
Fax Number
816-257-6948
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000C892 01 MO MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
17611 East 24 Highway
City
State
Zip
64055-1823
Phone Number
816-257-7787
Fax Number
816-257-6948
person
Provider Business Mailing Address Details
Address
17611 East 24 Highway
City
State
Zip
64056-1823
Phone Number
816-257-7787
Fax Number
816-257-6948
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
100447 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
100447 (Missouri)
Definition
Definition to come...
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