Provider Demographics
NPI:1538686654
Name:SCHAUB, KATHERINE MARIE (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:MARIE
Last Name:SCHAUB
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:52 E MONTEREY WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2628
Mailing Address - Country:US
Mailing Address - Phone:602-604-9500
Mailing Address - Fax:602-631-9303
Practice Address - Street 1:52 E MONTEREY WAY
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-2628
Practice Address - Country:US
Practice Address - Phone:602-604-9500
Practice Address - Fax:602-631-9303
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP10543363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily