Provider Demographics
NPI:1083162903
Name:SCHUBERT, FLETCHER M M (APRN-NP)
Entity Type:Individual
Prefix:MR
First Name:FLETCHER
Middle Name:M M
Last Name:SCHUBERT
Suffix:
Gender:M
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:TONGANOXIE
Mailing Address - State:KS
Mailing Address - Zip Code:66086-4509
Mailing Address - Country:US
Mailing Address - Phone:913-335-0152
Mailing Address - Fax:
Practice Address - Street 1:515 4TH STREET
Practice Address - Street 2:
Practice Address - City:TONGANOXIE
Practice Address - State:KS
Practice Address - Zip Code:66086-4509
Practice Address - Country:US
Practice Address - Phone:913-335-0152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS77363363LA2100X
OH0028215363LF0000X
TX1007542363LF0000X
MO2016044499363LF0000X
IAA158626363LF0000X
KS53-77363-061363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care