MS. JOHNNA BODENSTAB, ARNP

Nurse Practitioner - Family

Active Individual
NPI: 1619968070

Practice Address

17611 EAST 24 HIGHWAY
SUITE 200
Independence, MO 64055

Phone: (816) 257-7787

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X No 100447 (MO)
Nurse Practitioner - Family 363LF0000X Yes 100447 (MO)

Frequently Asked Questions

NPI 1619968070 is the National Provider Identifier for MS. JOHNNA BODENSTAB, ARNP, a Nurse Practitioner - Family provider located in Independence, MO. This NPI was enumerated on November 3, 2005.
MS. JOHNNA BODENSTAB, ARNP practices at 17611 EAST 24 HIGHWAY, SUITE 200, Independence, MO 64055.

Quick Facts

NPI
1619968070
Type
Individual
Enumerated
Nov 3, 2005
Last Updated
Aug 20, 2007

Nearby Providers