MEDICARE: LISA A SCHULER ARNP

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	363LP0200X	Pediatric Nurse Practitioner	2110	WI
2	363LP0200X	Pediatric Nurse Practitioner	C148849	IA
3	363LP0200X	Pediatric Nurse Practitioner	115529	MT

General Provider Information

NPI Number	:	1417954579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA A SCHULER ARNP

Provider Business Mailing Address
First Line	:	PO BOX 458
Second Line	:
City	:	OTTUMWA
State	:	IA
Zip	:	52501-0458
Country	:	US
Telephone Number	:	641-684-6896
Fax Number	:	641-226-5759

Provider Business Practice Location Address
First Line	:	926 13TH AVE S
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-4406
Country	:	US
Telephone Number	:	406-770-3000
Fax Number	:	406-770-3146

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	05/20/2021

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