Altenhofen, Renae Mary

Altenhofen, Renae Mary is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Altenhofen, Renae Mary can be contacted via phone (913) 696-8905.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (913) 696-8905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 126027 Missouri

Profile Details

NPI number 1043262157
LBN Legal business name Altenhofen, Renae Mary
Credentials RN CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Apr 8th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043262157 NPPES
Missouri MEDICAID 429663701

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