Provider Demographics
NPI:1073774527
Name:SCHROEDER, ELIZABETH ANN (APRN-NP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W 9TH ST
Mailing Address - Street 2:PO BOX 947
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68902-0947
Mailing Address - Country:US
Mailing Address - Phone:402-463-3088
Mailing Address - Fax:402-463-3099
Practice Address - Street 1:501 W 9TH ST
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68902-0947
Practice Address - Country:US
Practice Address - Phone:402-463-3088
Practice Address - Fax:402-463-3099
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily