Healthcare Provider Details

I. General information

NPI: 1972642676
Provider Name (Legal Business Name): ELLEN C RINDNER PHD, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 03/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 W 110TH ST 250
OVERLAND PARK KS
66210-2331
US

IV. Provider business mailing address

14028 W 113TH ST
LENEXA KS
66215-4833
US

V. Phone/Fax

Practice location:
  • Phone: 913-327-7505
  • Fax: 913-327-7054
Mailing address:
  • Phone: 913-660-5506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number45668
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number74263
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number14-65962-122
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: