MEDICARE: GENEVIEVE ROBBEN-RAHJES ARNP

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	363L00000X	Nurse Practitioner	44162	KS

General Provider Information

NPI Number	:	1639148646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENEVIEVE ROBBEN-RAHJES ARNP

Provider Business Mailing Address
First Line	:	300 S COLORADO ST
Second Line	:
City	:	PLAINVILLE
State	:	KS
Zip	:	67663-2505
Country	:	US
Telephone Number	:	785-425-6921
Fax Number	:	785-425-6328

Provider Business Practice Location Address
First Line	:	300 S COLORADO ST
Second Line	:
City	:	PLAINVILLE
State	:	KS
Zip	:	67663-2505
Country	:	US
Telephone Number	:	785-425-6921
Fax Number	:	785-425-6328

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/08/2007

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