Provider Demographics
NPI:1043034739
Name:SCHUMANN, DESIREE LYNN (RN)
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:LYNN
Last Name:SCHUMANN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DESIREE
Other - Middle Name:LYNN
Other - Last Name:MASCIARELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1223 FANNIN OAKS
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77905-3088
Mailing Address - Country:US
Mailing Address - Phone:361-648-2203
Mailing Address - Fax:
Practice Address - Street 1:2701 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5749
Practice Address - Country:US
Practice Address - Phone:361-573-9181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX660194163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care