Individual
MRS. KYLENE MARIE SCHROER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1832 ASPEN LN STE G, GRAND ISLAND, NE 68803-2474
(308) 675-1760
(308) 675-3258
Mailing address
1832 ASPEN LN STE G, GRAND ISLAND, NE 68803
(308) 675-1760
(308) 675-3258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
110853
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
110853
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024980200
—
NE
01
—
10025076100
MEDICAID FQHC
NE
05
—
10025079900
—
NE
01
—
254815
MIDLANDS CHOICE
NE
01
—
39166
BCBS
NE
Enumeration date
07/05/2007
Last updated
01/23/2025
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