Provider Demographics
NPI:1427025584
Name:SCHAEDEL, WINIFRED S (ARNP)
Entity Type:Individual
Prefix:
First Name:WINIFRED
Middle Name:S
Last Name:SCHAEDEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 E PARLIAMENT ST
Mailing Address - Street 2:
Mailing Address - City:SMITH CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:66967-3015
Mailing Address - Country:US
Mailing Address - Phone:785-820-6224
Mailing Address - Fax:402-387-7229
Practice Address - Street 1:740 SPRUCE LN
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NE
Practice Address - Zip Code:68418-4154
Practice Address - Country:US
Practice Address - Phone:785-820-6224
Practice Address - Fax:402-387-7229
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS74476363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100385860AMedicaid
KSP00269761Medicare PIN
KSP25118Medicare UPIN
KS041180Medicare PIN