MEDICARE: JANET SCHAUF BSN 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
1	163WC0400X	Case Management Registered Nurse	127539	KS
2	163WG0000X	General Practice Registered Nurse	127539	KS

General Provider Information

NPI Number	:	1306526124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET SCHAUF BSN RN

Provider Business Mailing Address
First Line	:	5500 E KELLOGG DR
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-1607
Country	:	US
Telephone Number	:	316-925-1034
Fax Number	:	316-469-0846

Provider Business Practice Location Address
First Line	:	1152 RED RIVER CIR
Second Line	:
City	:	CLEARWATER
State	:	KS
Zip	:	67026-7826
Country	:	US
Telephone Number	:	316-925-1034
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2023
Last Update Date	:	07/18/2023

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