Provider Demographics
NPI:1407064900
Name:SCHUMACHER, BETTE KATHLEEN (RN, MS, CNS)
Entity Type:Individual
Prefix:MS
First Name:BETTE
Middle Name:KATHLEEN
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:RN, MS, CNS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:P.O.BOX 5030
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5039
Mailing Address - Country:US
Mailing Address - Phone:605-333-1000
Mailing Address - Fax:605-333-1016
Practice Address - Street 1:1305 W 18TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-0401
Practice Address - Country:US
Practice Address - Phone:605-333-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD-CNS CS004106364SN0000X, 364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered364SN0000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistNeonatal
Not Answered364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics