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NPI Code Detail

MEDICARE: JOANNA ROSE BRETCHES

MEDICARE:   JOANNA ROSE BRETCHES
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1891247094
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA ROSE BRETCHES
Provider Business Mailing Address
First Line : 8340 MISSION RD #230
Second Line :
City : PRAIRIE VILLAGE
State : KS
Zip : 66206-2008
Country : US
Telephone Number : 913-735-0577
Fax Number : 913-369-7370
Provider Business Practice Location Address
First Line : 8340 MISSION RD #230
Second Line :
City : PRAIRIE VILLAGE
State : KS
Zip : 66206-2008
Country : US
Telephone Number : 913-735-0577
Fax Number : 913-369-7370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2016
Last Update Date : 09/03/2020

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Directions to “ JOANNA ROSE BRETCHES ” Practice Location

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