Search › Missouri › 363LF0000X
Johnna Bodenstab, ARNP
NPI 1619968070 · on the registry since 2005
Practice
- Address
- 17611 East 24 Highway
Suite 200
Independence, MO 64055 - Phone
- (816) 257-7787
- Fax
- (816) 257-6948
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LA2200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri