Provider Demographics
NPI:1891247094
Name:BRETCHES, JOANNA ROSE
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:ROSE
Last Name:BRETCHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:GREENWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8340 MISSION RD #230
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66206-2008
Mailing Address - Country:US
Mailing Address - Phone:913-735-0577
Mailing Address - Fax:913-369-7370
Practice Address - Street 1:8340 MISSION RD #230
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66206-2008
Practice Address - Country:US
Practice Address - Phone:913-735-0577
Practice Address - Fax:913-369-7370
Is Sole Proprietor?:No
Enumeration Date:2016-11-04
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator