Provider Demographics
NPI:1205945011
Name:SCHOENBERGER, EDITH MARLENE (RN)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:MARLENE
Last Name:SCHOENBERGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ELLIS
Mailing Address - State:KS
Mailing Address - Zip Code:67637-1624
Mailing Address - Country:US
Mailing Address - Phone:785-726-3568
Mailing Address - Fax:785-726-3841
Practice Address - Street 1:106 W 10TH ST
Practice Address - Street 2:
Practice Address - City:ELLIS
Practice Address - State:KS
Practice Address - Zip Code:67637-1624
Practice Address - Country:US
Practice Address - Phone:785-726-3568
Practice Address - Fax:785-726-3841
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1350566122163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS000664OtherBLUE CROSS BLUE SHIELD