MEDICARE: KRISTINA MARIA AHRENS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	041435544	IL

General Provider Information

NPI Number	:	1831041698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA MARIA AHRENS NP

Provider Business Mailing Address
First Line	:	118 LISA LN
Second Line	:
City	:	COLUMBIA
State	:	IL
Zip	:	62236-4533
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 ADMIRAL TROST RD STE A
Second Line	:
City	:	COLUMBIA
State	:	IL
Zip	:	62236-2163
Country	:	US
Telephone Number	:	618-713-7838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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