Provider Demographics
NPI:1053792028
Name:SCHAEFER, AUBRIE (NP)
Entity type:Individual
Prefix:
First Name:AUBRIE
Middle Name:
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 CHEROKEE RD
Mailing Address - Street 2:
Mailing Address - City:BREMEN
Mailing Address - State:KS
Mailing Address - Zip Code:66412-8622
Mailing Address - Country:US
Mailing Address - Phone:785-767-4750
Mailing Address - Fax:
Practice Address - Street 1:205 S HANOVER ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:KS
Practice Address - Zip Code:66945-8924
Practice Address - Country:US
Practice Address - Phone:785-337-2214
Practice Address - Fax:785-337-2727
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSTMP151353363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily