Provider Demographics
NPI:1316533169
Name:SCHIETE, AUDREY JANET (RN)
Entity type:Individual
Prefix:MRS
First Name:AUDREY
Middle Name:JANET
Last Name:SCHIETE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 S KYRENE RD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-2197
Mailing Address - Country:US
Mailing Address - Phone:480-541-1000
Mailing Address - Fax:480-541-1803
Practice Address - Street 1:8700 S KYRENE RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-2197
Practice Address - Country:US
Practice Address - Phone:480-541-1000
Practice Address - Fax:480-541-1803
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN158331163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool