Provider Demographics
NPI:1235934522
Name:SCHUTJER, PAMELA ELIZABETH (LPN)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:ELIZABETH
Last Name:SCHUTJER
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 CUNNINGHAM PKWY
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012-5138
Mailing Address - Country:US
Mailing Address - Phone:816-922-2161
Mailing Address - Fax:816-922-4845
Practice Address - Street 1:209 CUNNINGHAM PKWY
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:MO
Practice Address - Zip Code:64012-5138
Practice Address - Country:US
Practice Address - Phone:816-922-2161
Practice Address - Fax:816-922-4845
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010010233164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse