Provider Demographics
NPI:1871399360
Name:SCHAUER, TINA KAY
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:KAY
Last Name:SCHAUER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1648 N 28TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-1503
Mailing Address - Country:US
Mailing Address - Phone:402-730-1911
Mailing Address - Fax:
Practice Address - Street 1:1648 N 28TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-1503
Practice Address - Country:US
Practice Address - Phone:402-730-1911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant