Provider Demographics
NPI:1053634972
Name:SCHEVE, DIANA ROSE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:ROSE
Last Name:SCHEVE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 N MARTINSON ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-5960
Mailing Address - Country:US
Mailing Address - Phone:913-626-2306
Mailing Address - Fax:
Practice Address - Street 1:341 N MARTINSON ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-5960
Practice Address - Country:US
Practice Address - Phone:913-626-2306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-02516172V00000X
MO2008015794172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker