MEDICARE: MS. ANGELIQUE NICOLE SCHRIVER CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	SP008347	PA

General Provider Information

NPI Number	:	1346488723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELIQUE NICOLE SCHRIVER CRNP

Provider Business Mailing Address
First Line	:	909 SUMNEYTOWN PIKE
Second Line	:	SUITE 204
City	:	SPRING HOUSE
State	:	PA
Zip	:	19477-1011
Country	:	US
Telephone Number	:	215-542-0655
Fax Number	:	215-542-1448

Provider Business Practice Location Address
First Line	:	909 SUMNEYTOWN PIKE
Second Line	:	SUITE 204
City	:	SPRING HOUSE
State	:	PA
Zip	:	19477-1011
Country	:	US
Telephone Number	:	215-542-0655
Fax Number	:	215-542-1448

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2009
Last Update Date	:	12/14/2011

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