Individual
MISS NATHANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 BIENBILLE ST, BELTON, MO 64012-6111
(816) 457-1688
Mailing address
215 BIENBILLE ST, BELTON, MO 64012-6111
(816) 457-1688
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
12/10/2018
Last updated
04/05/2026
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