Healthcare Provider Details

I. General information

NPI: 1811596018
Provider Name (Legal Business Name): PATRICIA SCHAFER ARNOLD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA SCHAFER ARNOLD

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 01/07/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 W 74TH ST STE 100
MERRIAM KS
66204-2201
US

IV. Provider business mailing address

8901 W 74TH ST STE 100
MERRIAM KS
66204-2201
US

V. Phone/Fax

Practice location:
  • Phone: 913-491-4020
  • Fax: 913-491-4725
Mailing address:
  • Phone: 620-215-5412
  • Fax: 913-491-4725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number53-79653-062
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: