Provider Demographics
NPI:1821506080
Name:SCHRICK, DANIELLE C (PA)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:C
Last Name:SCHRICK
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:C
Other - Last Name:DOBRATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:5675 ROE BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:ROELAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2515
Mailing Address - Country:US
Mailing Address - Phone:913-676-2622
Mailing Address - Fax:913-676-2623
Practice Address - Street 1:5675 ROE BLVD STE 260
Practice Address - Street 2:
Practice Address - City:ROELAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66205-2515
Practice Address - Country:US
Practice Address - Phone:913-676-2622
Practice Address - Fax:913-676-2623
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15-02070363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant