MEDICARE: MS. SUSAN MARIE SCHRAND MSN, 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	363LF0000X	Family Nurse Practitioner	UP006111B	PA

General Provider Information

NPI Number	:	1427025188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUSAN MARIE SCHRAND MSN, CRNP

Provider Business Mailing Address
First Line	:	6809 MCCALLUM ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-3002
Country	:	US
Telephone Number	:	215-844-3069
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 WISSAHICKON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-4248
Country	:	US
Telephone Number	:	215-512-0011
Fax Number	:

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

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	08/16/2011

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