Individual
MRS. RENAE MARY ALTENHOFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CPNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(913) 696-8905
Mailing address
600 W 69TH ST, KANSAS CITY, MO 64113-1937
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
126027
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429663701
—
MO
Enumeration date
05/17/2006
Last updated
04/08/2021
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