Provider Demographics
NPI:1619029725
Name:SCHREER, DEBORAH (CRNFA)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:SCHREER
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30061-0092
Mailing Address - Country:US
Mailing Address - Phone:404-509-4931
Mailing Address - Fax:404-509-4931
Practice Address - Street 1:1761 MILFORD CREEK OVERLOOK SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30008-8110
Practice Address - Country:US
Practice Address - Phone:404-509-4931
Practice Address - Fax:404-509-4931
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN069889163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA900419820OtherEIN