MEDICARE: ANNETTE BEHNEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	75016	KS
2	363LF0000X	Family Nurse Practitioner	134220	MO

General Provider Information

NPI Number	:	1295069268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE BEHNEY

Provider Business Mailing Address
First Line	:	1301 PLATTE FALLS RD
Second Line	:
City	:	PLATTE CITY
State	:	MO
Zip	:	64079-7281
Country	:	US
Telephone Number	:	612-225-1538
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 PLATTE FALLS RD
Second Line	:
City	:	PLATTE CITY
State	:	MO
Zip	:	64079-7281
Country	:	US
Telephone Number	:	612-225-1538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2009
Last Update Date	:	09/24/2009

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Directions to “ ANNETTE BEHNEY ” Practice Location

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