Provider Demographics
NPI:1003390659
Name:SCHULTHEISS, HALI (APRN)
Entity Type:Individual
Prefix:
First Name:HALI
Middle Name:
Last Name:SCHULTHEISS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:NEODESHA
Mailing Address - State:KS
Mailing Address - Zip Code:66757-0360
Mailing Address - Country:US
Mailing Address - Phone:620-336-2131
Mailing Address - Fax:620-336-2237
Practice Address - Street 1:203 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CHERRYVALE
Practice Address - State:KS
Practice Address - Zip Code:67335-1332
Practice Address - Country:US
Practice Address - Phone:620-336-2131
Practice Address - Fax:620-336-2237
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS78414363LF0000X
KS000000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily