Provider Demographics
NPI:1932257698
Name:SCHNORR, THERESA A (PNP)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:A
Last Name:SCHNORR
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 FIELDSTONE FARM RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1851
Mailing Address - Country:US
Mailing Address - Phone:978-443-3067
Mailing Address - Fax:781-466-8987
Practice Address - Street 1:40 SECOND AVE
Practice Address - Street 2:SUITE 340
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451
Practice Address - Country:US
Practice Address - Phone:781-466-8980
Practice Address - Fax:781-466-8987
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA144507NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics