Individual
KYLA M SCHAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
413 W MCKINLEY AVE STE D, MISHAWAKA, IN 46545-5592
(574) 282-3230
(574) 282-3240
Mailing address
413 W MCKINLEY AVE STE D, MISHAWAKA, IN 46545-5592
(574) 282-3230
(574) 282-3240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010881A
IN
363LF0000X
Family Nurse Practitioner
71010881A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300048497
—
IN
Enumeration date
01/29/2021
Last updated
05/15/2025
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