Provider Demographics
NPI:1205483559
Name:BRETTMANN, CATHERINE NJOKI (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:NJOKI
Last Name:BRETTMANN
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8765 N AMBASSADOR DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64154-2540
Mailing Address - Country:US
Mailing Address - Phone:913-297-7472
Mailing Address - Fax:855-740-3068
Practice Address - Street 1:8765 N AMBASSADOR DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-2540
Practice Address - Country:US
Practice Address - Phone:913-297-7472
Practice Address - Fax:855-740-3068
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-78836-041363LF0000X
MO2019026379363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily