Individual provider · NPI-1

Renae Mary Altenhofen, RN CPNP

Nurse Practitioner, Pediatrics · Kansas City, MO

NPI number1043262157
StatusActive
Last updated in NPPESApr 8, 2021

Details

NPI
1043262157
Entity type
Individual (NPI-1)
Name
Mrs. Renae Mary Altenhofen
Credential
RN CPNP
Sex
Female
Sole proprietor
No
Enumeration date
May 17, 2006
Certification date
Apr 8, 2021
Last updated
Apr 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics126027MOYes

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Phone 913-696-8905

Mailing address

600 W 69th St
Kansas City, MO 64113-1937

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