Provider Demographics
NPI:1245870559
Name:SCHRAM, CATIE ANN (RN)
Entity type:Individual
Prefix:
First Name:CATIE
Middle Name:ANN
Last Name:SCHRAM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANN
Other - Last Name:SCHRAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2406 KING DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-4214
Mailing Address - Country:US
Mailing Address - Phone:402-578-2651
Mailing Address - Fax:
Practice Address - Street 1:2406 KING DR
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-4214
Practice Address - Country:US
Practice Address - Phone:402-578-2651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE88437163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse