Provider Demographics
NPI:1669559936
Name:SCHAMROTH, KRISTEN Y (CRNA)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:Y
Last Name:SCHAMROTH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:KINDEL
Other - Last Name:SCHAMROTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 DULANEY VALLEY RD STE 220
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-0621
Mailing Address - Country:US
Mailing Address - Phone:410-583-1000
Mailing Address - Fax:410-583-1009
Practice Address - Street 1:901 DULANEY VALLEY RD STE 220
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-0621
Practice Address - Country:US
Practice Address - Phone:410-583-1000
Practice Address - Fax:410-583-1009
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR088727367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD060L647MMedicare PIN