Healthcare Provider Details

I. General information

NPI: 1023013703
Provider Name (Legal Business Name): GERI L SCHROEDER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 12/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 LINCOLN ST NE
LE MARS IA
51031-3314
US

IV. Provider business mailing address

714 LINCOLN ST NE
LE MARS IA
51031-3314
US

V. Phone/Fax

Practice location:
  • Phone: 712-546-3398
  • Fax: 712-546-3352
Mailing address:
  • Phone: 712-546-3398
  • Fax: 712-546-3352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA-089833
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: