Provider Demographics
NPI:1235265836
Name:SCHIAVO-KENDRICK, NADJIE (CASE MANAGER PARA PR)
Entity Type:Individual
Prefix:
First Name:NADJIE
Middle Name:
Last Name:SCHIAVO-KENDRICK
Suffix:
Gender:F
Credentials:CASE MANAGER PARA PR
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 765
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72811-0765
Mailing Address - Country:US
Mailing Address - Phone:479-968-2263
Mailing Address - Fax:501-303-3189
Practice Address - Street 1:1000 S HOUSTON AVE
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801-5816
Practice Address - Country:US
Practice Address - Phone:470-968-2263
Practice Address - Fax:501-303-8189
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator