Healthcare Provider Details

I. General information

NPI: 1447610241
Provider Name (Legal Business Name): KAYLA JEAN SCHONHARDT APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2016
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14001 RIDGEDALE DR SUITE 100
MINNETONKA MN
55305-1753
US

IV. Provider business mailing address

14001 RIDGEDALE DR SUITE 100
MINNETONKA MN
55305-1753
US

V. Phone/Fax

Practice location:
  • Phone: 952-473-0211
  • Fax: 952-473-7908
Mailing address:
  • Phone: 952-473-0211
  • Fax: 952-473-7908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberR 202501-2
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberCNP 4447
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: