Healthcare Provider Details

I. General information

NPI: 1699680900
Provider Name (Legal Business Name): TARA R ASCHENBRENNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 CANTERBURY DR
HAYS KS
67601-2370
US

IV. Provider business mailing address

37006 L RD
ELLIS KS
67637-9518
US

V. Phone/Fax

Practice location:
  • Phone: 785-623-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95653
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: