Individual
JOHANNA CONGLETON BODINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
411 N WASHINGTON AVE STE 2700, DALLAS, TX 75246-1735
(214) 975-3937
Mailing address
411 N WASHINGTON AVE STE 2700, DALLAS, TX 75246-1735
(214) 975-3937
(469) 309-7787
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM1795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15228
RX AUTH #
TX
05
—
345080101
—
TX
01
—
744687
NURSE LICENSE #
TX
01
—
AP124942
APRN
TX
Enumeration date
01/11/2014
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us