Provider Demographics
NPI:1295526556
Name:SCHOTT, ROBERTA LEE (LPN)
Entity type:Individual
Prefix:
First Name:ROBERTA
Middle Name:LEE
Last Name:SCHOTT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 5TH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-1357
Mailing Address - Country:US
Mailing Address - Phone:509-264-7283
Mailing Address - Fax:
Practice Address - Street 1:1919 5TH ST UNIT B
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-1357
Practice Address - Country:US
Practice Address - Phone:509-264-7283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00023616164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse