Provider Demographics
NPI:1356966618
Name:SCHLIESSER, LAURA (APRN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SCHLIESSER
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 1:19751 SW 58TH ST
Mailing Address - Street 2:
Mailing Address - City:HALLAM
Mailing Address - State:NE
Mailing Address - Zip Code:68368-2055
Mailing Address - Country:US
Mailing Address - Phone:402-499-4553
Mailing Address - Fax:
Practice Address - Street 1:19751 SW 58TH ST
Practice Address - Street 2:
Practice Address - City:HALLAM
Practice Address - State:NE
Practice Address - Zip Code:68368-2055
Practice Address - Country:US
Practice Address - Phone:402-499-4553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-12
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE115427363LP2300X
NE72505163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty