Provider Demographics
NPI:1356686638
Name:SCHURR, AUDREA ANNETTE (MSN, CNM, ARNP)
Entity Type:Individual
Prefix:MRS
First Name:AUDREA
Middle Name:ANNETTE
Last Name:SCHURR
Suffix:
Gender:F
Credentials:MSN, CNM, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1669 VICTORIA POINTE LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1313
Mailing Address - Country:US
Mailing Address - Phone:954-857-7915
Mailing Address - Fax:
Practice Address - Street 1:1669 VICTORIA POINTE LN
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-1313
Practice Address - Country:US
Practice Address - Phone:954-857-7915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3218842163WM0102X, 163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn