Healthcare Provider Details

I. General information

NPI: 1730070947
Provider Name (Legal Business Name): REBECCA APPELGREN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11148 S LONE ELM RD
OLATHE KS
66061-9434
US

IV. Provider business mailing address

24188 W 91ST TER
LENEXA KS
66227-4338
US

V. Phone/Fax

Practice location:
  • Phone: 913-660-2281
  • Fax:
Mailing address:
  • Phone: 913-904-6486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number105189
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: