Healthcare Provider Details

I. General information

NPI: 1720876733
Provider Name (Legal Business Name): ASPEN ENGLEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 BALLENTINE ST
OVERLAND PARK KS
66214-1900
US

IV. Provider business mailing address

21818 W 123RD TER
OLATHE KS
66061-7629
US

V. Phone/Fax

Practice location:
  • Phone: 913-363-2663
  • Fax:
Mailing address:
  • Phone: 913-302-7707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number163997
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: