Healthcare Provider Details

I. General information

NPI: 1649901448
Provider Name (Legal Business Name): JANET L AHLSTROM MSN, APRN, ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2022
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 CAMBRIDGE ST
KANSAS CITY KS
66160-8501
US

IV. Provider business mailing address

2142 E 151ST TER
OLATHE KS
66062-2938
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6491
  • Fax:
Mailing address:
  • Phone: 913-485-9184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number74893
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: