Individual provider · Type 1 NPI

Johnna L. Bodenstab, ARNP

Family Nurse Practitioner · Independence, MO

NPI number 1619968070 Active

Practice location

17611 East 24 Highway, Suite 200
Independence, MO 64055-1823

Call (816) 257-7787 Map

Fax (816) 257-6948

Mailing address

17611 East 24 Highway, Suite 200
Independence, MO 64056-1823

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X100447 (MO)
Family Nurse Practitioner Primary 363LF0000X100447 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1619968070

Johnna L. Bodenstab, ARNP's National Provider Identifier is 1619968070, issued on Nov 3, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Independence, MO. The record was last updated on Aug 20, 2007.