Provider Demographics
NPI:1356597108
Name:SCHOOLER, MARY P (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:P
Last Name:SCHOOLER
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 CORPORATE DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-5421
Mailing Address - Country:US
Mailing Address - Phone:859-797-2493
Mailing Address - Fax:859-296-1633
Practice Address - Street 1:841 CORPORATE DR
Practice Address - Street 2:SUITE 310
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-5421
Practice Address - Country:US
Practice Address - Phone:859-797-2493
Practice Address - Fax:859-296-1633
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4163P363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3004163OtherKENTUCKY BOARD OF NURSING, REVISED LICENSE NUMBER