Healthcare Provider Details

I. General information

NPI: 1013311380
Provider Name (Legal Business Name): SHANNA LYNN SCHREURS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHANNA LYNN GRANBERG APRN

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10725 DOUBLE R BLVD STE A
RENO NV
89521-8973
US

IV. Provider business mailing address

10725 DOUBLE R BLVD STE A
RENO NV
89521-8973
US

V. Phone/Fax

Practice location:
  • Phone: 775-800-1988
  • Fax: 775-525-3357
Mailing address:
  • Phone: 775-800-1988
  • Fax: 775-525-3357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN65758
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN001861
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN001861
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: