Provider Demographics
NPI:1437283868
Name:SCHOPPE, KATHY LYNN (RN)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:LYNN
Last Name:SCHOPPE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 BENNETT ST
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-1879
Mailing Address - Country:US
Mailing Address - Phone:608-314-0791
Mailing Address - Fax:
Practice Address - Street 1:930 N WASHINGTON ST APT 130
Practice Address - Street 2:RIVERVIEW HEIGHTS APARTMENT
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53548-2875
Practice Address - Country:US
Practice Address - Phone:608-756-5111
Practice Address - Fax:608-756-5111
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse