Provider Demographics
NPI:1720745821
Name:SCHROEDER, ELIZABETH AMY (ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:AMY
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8314 SUNSET TRL
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-7046
Mailing Address - Country:US
Mailing Address - Phone:830-214-3217
Mailing Address - Fax:
Practice Address - Street 1:415 INDIAN OAKS DR
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-6202
Practice Address - Country:US
Practice Address - Phone:254-699-5051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1059108363LG0600X, 363LA2100X
TX901200363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology