Provider Demographics
NPI:1831786292
Name:SCHULTE, AMANDA KAYE (NP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:KAYE
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 E CARTHAGE ST
Mailing Address - Street 2:
Mailing Address - City:MEADE
Mailing Address - State:KS
Mailing Address - Zip Code:67864-6401
Mailing Address - Country:US
Mailing Address - Phone:620-573-5500
Mailing Address - Fax:620-873-2576
Practice Address - Street 1:402 GRAND AVE
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:KS
Practice Address - Zip Code:67869-9772
Practice Address - Country:US
Practice Address - Phone:620-563-9313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79696-011363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily