NPI 1043262157 · live from the CMS NPI Registry
Renae Mary Altenhofen, RN CPNP
Nurse Practitioner, Pediatrics in Kansas City, MO. National Provider Identifier 1043262157, active.
NPI record
| NPI | 1043262157 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2401 Gillham Rd, Kansas City, MO 64108 |
| Practice phone | 913-696-8905 |
| Mailing address | 600 W 69th St, Kansas City, MO 64113 |
| Enumerated | May 17, 2006 |
| Last updated | April 8, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 126027 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.