Healthcare Provider Details

I. General information

NPI: 1528843117
Provider Name (Legal Business Name): PARIS M BRENN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2023
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20375 W 151ST ST STE 151
OLATHE KS
66061-5306
US

IV. Provider business mailing address

100 E MAIN ST
OSAWATOMIE KS
66064-1126
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-1227
  • Fax:
Mailing address:
  • Phone: 913-755-3044
  • Fax: 913-755-2149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-82471
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: