Provider Demographics
NPI:1437669587
Name:SCHNITTKER, CAREN S (C N A/CMA)
Entity Type:Individual
Prefix:MS
First Name:CAREN
Middle Name:S
Last Name:SCHNITTKER
Suffix:
Gender:F
Credentials:C N A/CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 HEIZER ST
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-2630
Mailing Address - Country:US
Mailing Address - Phone:620-617-9090
Mailing Address - Fax:
Practice Address - Street 1:2001 HEIZER ST
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-2630
Practice Address - Country:US
Practice Address - Phone:620-617-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS146497374U00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty