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NPI Code Detail

MEDICARE: MRS. KATHRYN ANN SCHAMS MSN, APRN, BC

MEDICARE: MRS. KATHRYN ANN SCHAMS MSN, APRN, BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerR-133875-5MN

General Provider Information

NPI Number : 1629063268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHRYN ANN SCHAMS MSN, APRN, BC
Provider Business Mailing Address
First Line : 47060 QUEENS COVE CIR
Second Line :
City : DRESBACH
State : MN
Zip : 55947-4234
Country : US
Telephone Number : 507-643-8419
Fax Number :
Provider Business Practice Location Address
First Line : 500 E VETERANS ST
Second Line : VA MEDICAL CENTER
City : TOMAH
State : WI
Zip : 54660-3105
Country : US
Telephone Number : 608-372-1708
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 07/08/2007

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