Provider Demographics
NPI:1033437652
Name:MEIER-SCHRAUFNAGEL, CORISSA ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:CORISSA
Middle Name:ANN
Last Name:MEIER-SCHRAUFNAGEL
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 1:1617 SUNNYVALE LN
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-9004
Mailing Address - Country:US
Mailing Address - Phone:715-573-7709
Mailing Address - Fax:715-298-0007
Practice Address - Street 1:1617 SUNNYVALE LN
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-9004
Practice Address - Country:US
Practice Address - Phone:715-573-7709
Practice Address - Fax:715-298-0007
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI171228163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse