Provider Demographics
NPI:1093175606
Name:SCHUCHARDT, ANN M
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:SCHUCHARDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:M
Other - Last Name:BREWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2668 S 191ST CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2924
Mailing Address - Country:US
Mailing Address - Phone:402-689-1201
Mailing Address - Fax:855-290-5531
Practice Address - Street 1:2668 S 191ST CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2924
Practice Address - Country:US
Practice Address - Phone:402-982-0050
Practice Address - Fax:855-290-5531
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-25
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE56322163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant