Doctor Name: | BETH M SCHRAGE |
NPI Number: | 1023094240 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNCSFNP |
License Number: | 107529 |
Business Practice Address: | 100 E Jackson St Edina, MO - 635371335 |
Business Phone Number: | 6603973571 |
Business Fax Number: | 6603972307 |
Mailing Address: | 1416 Crown Drive, KIRKSVILLE |
State: | MO |
Postal Code: | 635012548 |
Phone Number: | 6606275757 |
Fax Number: | 6606275802 |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 04/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 107529 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |