Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 142259 | KS |
NPI | 1013212885 |
---|---|
Provider Name | Dawn M Schake |
First Address | Wichita, KS 67226-2022 |
Second Address | Wichita, KS 67226-2022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2011 |
Last Update Date | 23/03/2021 |