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NPI Code Detail

MEDICARE: CHRISTEN KAVANAUGH SCHULTE RN

MEDICARE: CHRISTEN KAVANAUGH SCHULTE RN
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
1164W00000XLicensed Practical Nurse215503CA
2163W00000XRegistered Nurse855767TX

General Provider Information

NPI Number : 1003970476
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTEN KAVANAUGH SCHULTE RN
Provider Business Mailing Address
First Line : 6309 YORK BRIDGE CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78749-2273
Country : US
Telephone Number : 805-450-3975
Fax Number :
Provider Business Practice Location Address
First Line : 1430 COLLIER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-2911
Country : US
Telephone Number : 512-445-7787
Fax Number : 512-440-4059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 08/02/2016

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