MEDICARE: MISS AMANDA JO SCHULER

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	163WM0705X	Medical-Surgical Registered Nurse	69226	NE

General Provider Information

NPI Number	:	1669786638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS AMANDA JO SCHULER

Provider Business Mailing Address
First Line	:	3303 SPRING ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68105-3653
Country	:	US
Telephone Number	:	712-310-4959
Fax Number	:

Provider Business Practice Location Address
First Line	:	3303 SPRING ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68105-3653
Country	:	US
Telephone Number	:	712-310-4959
Fax Number	:

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

Provider Enumeration Date	:	08/03/2010
Last Update Date	:	08/03/2010

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