Basic Information
Provider Information
NPI: 1720591019
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHUMACHER
FirstName: NYOKA
MiddleName: ANN-MARIE
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 N OAK AVE
Address2:  
City: MARSHFIELD
State: WI
PostalCode: 544495703
CountryCode: US
TelephoneNumber: 7153875240
FaxNumber: 7153875240
Practice Location
Address1: 1000 N OAK AVE
Address2:  
City: MARSHFIELD
State: WI
PostalCode: 544495703
CountryCode: US
TelephoneNumber: 7153875511
FaxNumber: 7153875240
Other Information
ProviderEnumerationDate: 11/09/2017
LastUpdateDate: 04/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X7929WIY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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