MEDICARE: NATALIE SCHROEDER

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	363LP2300X	Primary Care Nurse Practitioner	2021029976	MO

General Provider Information

NPI Number	:	1124791751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE SCHROEDER

Provider Business Mailing Address
First Line	:	4202 CHOUTEAU AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1712
Country	:	US
Telephone Number	:	131-437-8366
Fax Number	:

Provider Business Practice Location Address
First Line	:	4202 CHOUTEAU AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1712
Country	:	US
Telephone Number	:	314-378-3669
Fax Number	:

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

Provider Enumeration Date	:	07/29/2021
Last Update Date	:	07/29/2021

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Directions to “ NATALIE SCHROEDER ” Practice Location

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