Provider Demographics
NPI:1134355381
Name:SCHNECK, CHRISTY CECILIA (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:CECILIA
Last Name:SCHNECK
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 152
Mailing Address - Street 2:
Mailing Address - City:CONWAY SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:67031-0152
Mailing Address - Country:US
Mailing Address - Phone:620-456-2817
Mailing Address - Fax:
Practice Address - Street 1:216 S 7TH ST
Practice Address - Street 2:
Practice Address - City:CONWAY SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:67031-8272
Practice Address - Country:US
Practice Address - Phone:620-456-2817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-70267-101163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management