Provider Demographics
NPI:1770038598
Name:SCHRAMM, LYNNSIE MARIE (CNM)
Entity Type:Individual
Prefix:MS
First Name:LYNNSIE
Middle Name:MARIE
Last Name:SCHRAMM
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3429 GIRARD AVE S UNIT 2
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-3818
Mailing Address - Country:US
Mailing Address - Phone:612-598-1781
Mailing Address - Fax:
Practice Address - Street 1:3429 GIRARD AVE S UNIT 2
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-3818
Practice Address - Country:US
Practice Address - Phone:612-598-1781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNM 0315367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife