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Individual
MRS. COURTNEY MICHELLE BOHANNAN
Active
Individual
MRS. COURTNEY MICHELLE BOHANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-117282-012
KS
363L00000X
Nurse Practitioner
Primary
53-85832-012
KS
Other
Enumeration date
05/19/2026
Last updated
07/07/2026
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