Provider Demographics
NPI:1811310097
Name:SCHUETTE, LANA F (CNS)
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:F
Last Name:SCHUETTE
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6847 N. CHESTNUT STREET
Mailing Address - Street 2:MEDICAL STAFF OFFICE
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266
Mailing Address - Country:US
Mailing Address - Phone:330-297-2461
Mailing Address - Fax:330-297-8463
Practice Address - Street 1:6847 N. CHESTNUT STREET
Practice Address - Street 2:MEDICAL STAFF OFFICE
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266
Practice Address - Country:US
Practice Address - Phone:330-297-2461
Practice Address - Fax:330-297-8463
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15455-NS364SA2200X
OHRN-326622163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse