Provider Demographics
NPI:1881175131
Name:SCHLEGEL, JOYCE (LPN)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:SCHLEGEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 E MURRAY ST # 407
Mailing Address - Street 2:
Mailing Address - City:SHICKLEY
Mailing Address - State:NE
Mailing Address - Zip Code:68436-3033
Mailing Address - Country:US
Mailing Address - Phone:402-627-3375
Mailing Address - Fax:
Practice Address - Street 1:104 E MURRAY ST # 407
Practice Address - Street 2:
Practice Address - City:SHICKLEY
Practice Address - State:NE
Practice Address - Zip Code:68436-3033
Practice Address - Country:US
Practice Address - Phone:402-627-3375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4474164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse