Provider Demographics
NPI:1437566114
Name:SCHREIBER, MICHAEL DANA (PMHNP, RN)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DANA
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:PMHNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 BEALS ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6071
Mailing Address - Country:US
Mailing Address - Phone:617-730-8048
Mailing Address - Fax:
Practice Address - Street 1:106 BEALS ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-6071
Practice Address - Country:US
Practice Address - Phone:617-730-8048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2275232363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health