Provider Demographics
NPI:1235483256
Name:SCHUMACHER, JUDITH ANN (RN)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANN
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3985 DACOTAH VIEW CT
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-8743
Mailing Address - Country:US
Mailing Address - Phone:701-775-2832
Mailing Address - Fax:
Practice Address - Street 1:718 OAK ST
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-4460
Practice Address - Country:US
Practice Address - Phone:701-746-5359
Practice Address - Fax:701-746-5359
Is Sole Proprietor?:No
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR11553163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health