Provider Demographics
NPI:1154098556
Name:SCHLECHTER, STEPHANIE LYNNE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LYNNE
Last Name:SCHLECHTER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:L
Other - Last Name:KRAVIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:916 8TH AVE S
Mailing Address - Street 2:
Mailing Address - City:FAULKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57438-2103
Mailing Address - Country:US
Mailing Address - Phone:160-569-5218
Mailing Address - Fax:605-598-4515
Practice Address - Street 1:916 8TH AVE S
Practice Address - Street 2:
Practice Address - City:FAULKTON
Practice Address - State:SD
Practice Address - Zip Code:57438-2103
Practice Address - Country:US
Practice Address - Phone:160-569-5218
Practice Address - Fax:605-598-4515
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR044766163W00000X
MNR203543-9163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse