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NPI Code Detail

MEDICARE: SHANDA NICOLE SCHROEDER

MEDICARE:   SHANDA NICOLE SCHROEDER
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
1363LF0000XFamily Nurse Practitioner79850KS

General Provider Information

NPI Number : 1952973190
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANDA NICOLE SCHROEDER
Provider Business Mailing Address
First Line : 400 S SANTA FE AVE
Second Line :
City : SALINA
State : KS
Zip : 67401-4144
Country : US
Telephone Number : 785-452-7269
Fax Number :
Provider Business Practice Location Address
First Line : 2265 S 9TH ST
Second Line :
City : SALINA
State : KS
Zip : 67401-7308
Country : US
Telephone Number : 785-452-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2021
Last Update Date : 07/16/2021

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Directions to “ SHANDA NICOLE SCHROEDER ” Practice Location

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