Provider Demographics
NPI:1700190931
Name:SCHNUR, KATHY JO (RN ATR)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:JO
Last Name:SCHNUR
Suffix:
Gender:F
Credentials:RN ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 DELANO RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-2007
Mailing Address - Country:US
Mailing Address - Phone:248-969-2055
Mailing Address - Fax:
Practice Address - Street 1:3101 DELANO RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-2007
Practice Address - Country:US
Practice Address - Phone:248-969-2055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704110125163WP0808X
NC10-057221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist