Provider Demographics
NPI:1386995447
Name:SCHAA, ABBIE LOUISE (ARNP)
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:LOUISE
Last Name:SCHAA
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:MS
Other - First Name:ABBIE
Other - Middle Name:LOUISE
Other - Last Name:SCHWARCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:419 E DONALD ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50703-1500
Mailing Address - Country:US
Mailing Address - Phone:319-236-1911
Mailing Address - Fax:319-287-5832
Practice Address - Street 1:419 E DONALD ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-1500
Practice Address - Country:US
Practice Address - Phone:319-236-1911
Practice Address - Fax:319-287-5832
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-122322363LF0000X
IAA122322363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1386995447Medicaid
IA719270046Medicare PIN