Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 110853 | NE |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 110853 | NE |
NPI | 1033317722 |
---|---|
Provider Name | Mrs. Kylene Marie Schroer |
First Address | Hastings, NE 68901-4438 |
Second Address | Hastings, NE 68901-4438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2007 |
Last Update Date | 21/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10024980200 | (05) | NE |
10025076100 | MEDICAID FQHC (01) | NE |
10025079900 | (05) | NE |
254815 | MIDLANDS CHOICE (01) | NE |
39166 | BCBS (01) | NE |