Provider Demographics
NPI:1649325978
Name:SCHRAMM, DIANA KAY (FNP)
Entity type:Individual
Prefix:MS
First Name:DIANA
Middle Name:KAY
Last Name:SCHRAMM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:KAY
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 W ARBROOK BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-3175
Mailing Address - Country:US
Mailing Address - Phone:817-801-1456
Mailing Address - Fax:817-801-0594
Practice Address - Street 1:400 W ARBROOK BLVD STE 101
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-3175
Practice Address - Country:US
Practice Address - Phone:817-801-1456
Practice Address - Fax:817-801-0594
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125336363LF0000X
TX852843363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP24140002Medicare PIN
MIP29102Medicare UPIN