Provider Demographics
NPI:1790218402
Name:SCHRAG, BOBBI (APRN)
Entity Type:Individual
Prefix:
First Name:BOBBI
Middle Name:
Last Name:SCHRAG
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 N WALDRON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-1100
Mailing Address - Country:US
Mailing Address - Phone:620-665-2473
Mailing Address - Fax:620-669-5959
Practice Address - Street 1:2020 N WALDRON ST STE 100
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-1100
Practice Address - Country:US
Practice Address - Phone:620-665-2473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77529-092363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily