Most Relevant Information
Provider Data
NPI Number: | 1003407321 |
Provider Name: | KYLA M SCHAUSS FNP |
Entity Type: | Individual |
Taxonomy Code: | 363L00000X |
Specialty: | Nurse Practitioner |
License Number: | 71010881A |
Most Important Dates
Enumeration Date: | 01/29/2021 |
Last Updated: | 09/12/2023 |
Provider Practice Location
413 W MCKINLEY AVE STE D
MISHAWAKA
IN
465455592
Practice Location Phone/Fax
Phone: | 5742823230 |
Fax: | 5742823240 |
Provider Mailing Location
413 W MCKINLEY AVE STE D
MISHAWAKA
IN
465455592
Provider Mailing Phone/Fax
Phone: | 5742823230 |
Fax: | 5742823240 |