Healthcare Provider Details

I. General information

NPI: 1306694427
Provider Name (Legal Business Name): ERIN OLIVIA SCHAUB BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HAIRPIN DR
EDWARDSVILLE IL
62026-0001
US

IV. Provider business mailing address

1 HAIRPIN DR
EDWARDSVILLE IL
62026-0001
US

V. Phone/Fax

Practice location:
  • Phone: 618-650-3705
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number041.497429
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number2024006040
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number264906
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: