Provider Demographics
NPI:1508962945
Name:AHRENS, ANA SARRA (ARNP)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:SARRA
Last Name:AHRENS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 N AMIDON AVE STE 317
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-2120
Mailing Address - Country:US
Mailing Address - Phone:316-201-1676
Mailing Address - Fax:316-201-1762
Practice Address - Street 1:1919 N AMIDON AVE STE 317
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2120
Practice Address - Country:US
Practice Address - Phone:316-201-1676
Practice Address - Fax:316-201-1762
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS319363LP0808X
KS45936363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200405680CMedicaid
KSPENDINGMedicaid