Provider Demographics
NPI:1639148646
Name:ROBBEN-RAHJES, GENEVIEVE (ARNP)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:ROBBEN-RAHJES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:GENNY
Other - Middle Name:
Other - Last Name:ROBBEN-RAHJES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:300 S COLORADO ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67663-2505
Mailing Address - Country:US
Mailing Address - Phone:785-425-6921
Mailing Address - Fax:785-425-6328
Practice Address - Street 1:300 S COLORADO ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:KS
Practice Address - Zip Code:67663-2505
Practice Address - Country:US
Practice Address - Phone:785-425-6921
Practice Address - Fax:785-425-6328
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44162363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSR31631Medicare UPIN
161398Medicare ID - Type Unspecified