Provider Demographics
NPI:1619336823
Name:SCHORR, JANICE LEE (APRN)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:LEE
Last Name:SCHORR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 W 200 S # 132
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84101-1603
Mailing Address - Country:US
Mailing Address - Phone:801-809-6522
Mailing Address - Fax:
Practice Address - Street 1:32 W 200 S # 132
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84101-1603
Practice Address - Country:US
Practice Address - Phone:801-809-6522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-16
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT219099-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily