Provider Demographics
NPI:1891990727
Name:BOHAN, JOAN B (RNFA)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:B
Last Name:BOHAN
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3947 STOCKTON LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-4921
Mailing Address - Country:US
Mailing Address - Phone:214-912-9931
Mailing Address - Fax:972-862-2507
Practice Address - Street 1:3947 STOCKTON LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-4921
Practice Address - Country:US
Practice Address - Phone:214-912-9931
Practice Address - Fax:972-862-2507
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRN451277163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant