Healthcare Provider Details

I. General information

NPI: 1194105775
Provider Name (Legal Business Name): DANIEL SCHROER NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2015
Last Update Date: 07/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3823 TRUEMAN CT
HILLIARD OH
43026-2496
US

IV. Provider business mailing address

71 W TULANE RD
COLUMBUS OH
43202-1907
US

V. Phone/Fax

Practice location:
  • Phone: 614-876-9558
  • Fax:
Mailing address:
  • Phone: 614-313-6246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number391711
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06151039
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: