Mrs. Renae Mary Altenhofen
Nurse Practitioner - Pediatrics
2401 Gillham Rd
Kansas City
, Missouri 64108-4619
Mrs. Renae Mary Altenhofen
Nurse Practitioner - Pediatrics
2401 Gillham Rd
Kansas City
, Missouri 64108-4619
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Renae Mary Altenhofen
- 600 W 69th St
- Kansas City, MO
- Zip : 64113-1937
- Phone :
Second Address
- Mrs. Renae Mary Altenhofen
- 2401 Gillham Rd
- Kansas City, MO
- Zip : 64108-4619
- Phone : (913) 696-8905
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 126027 | MO |
National Provider Identifier
| NPI | 1043262157 |
|---|---|
| Provider Name | Mrs. Renae Mary Altenhofen |
| First Address | Kansas City, MO 64113-1937 |
| Second Address | Kansas City, MO 64108-4619 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 08/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 429663701 | (05) | MO |
| P52008 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.