MEDICARE: ERIC WILLIAM SCHROEDER C.R.N.A.

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	367500000X	Certified Registered Nurse Anesthetist	RN223686L	PA

General Provider Information

NPI Number	:	1396839668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC WILLIAM SCHROEDER C.R.N.A.

Provider Business Mailing Address
First Line	:	8281 THOMPSON RUN RD.
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237
Country	:	US
Telephone Number	:	412-367-3544
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIVERSITY DR. C
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15204
Country	:	US
Telephone Number	:	412-688-6000
Fax Number	:

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/08/2007

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