Provider Demographics
NPI:1396380135
Name:SACHEN, AMANDA LEE (RN)
Entity Type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:LEE
Last Name:SACHEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 N THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66101-2935
Mailing Address - Country:US
Mailing Address - Phone:913-499-9719
Mailing Address - Fax:
Practice Address - Street 1:423 N THOMPSON ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-2935
Practice Address - Country:US
Practice Address - Phone:913-499-9719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-15
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator