Healthcare Provider Details

I. General information

NPI: 1316533169
Provider Name (Legal Business Name): AUDREY JANET SCHIETE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2020
Last Update Date: 12/16/2020
Certification Date: 12/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 S KYRENE RD
TEMPE AZ
85284-2197
US

IV. Provider business mailing address

8700 S KYRENE RD
TEMPE AZ
85284-2197
US

V. Phone/Fax

Practice location:
  • Phone: 480-541-1000
  • Fax: 480-541-1803
Mailing address:
  • Phone: 480-541-1000
  • Fax: 480-541-1803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN158331
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: