Provider Demographics
NPI:1336380880
Name:SCHRAUTH, NANCY ANNE (DC, RCST)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ANNE
Last Name:SCHRAUTH
Suffix:
Gender:F
Credentials:DC, RCST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 PRIOR AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-5163
Mailing Address - Country:US
Mailing Address - Phone:615-917-3990
Mailing Address - Fax:
Practice Address - Street 1:245 PRIOR AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-5163
Practice Address - Country:US
Practice Address - Phone:615-917-3990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2809111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor