Provider Demographics
NPI:1548472616
Name:COMES, JOHANNA CLAIRE FRANKEL (FNP)
Entity type:Individual
Prefix:MS
First Name:JOHANNA
Middle Name:CLAIRE FRANKEL
Last Name:COMES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4825 TROOST AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64110-2030
Mailing Address - Country:US
Mailing Address - Phone:816-235-6133
Mailing Address - Fax:
Practice Address - Street 1:4825 TROOST AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-2030
Practice Address - Country:US
Practice Address - Phone:816-235-6133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000151227363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily