MEDICARE: LOIS JANE SCHRAMEK 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	363LG0600X	Gerontology Nurse Practitioner	R086053	MD

General Provider Information

NPI Number	:	1134391949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOIS JANE SCHRAMEK CRNP

Provider Business Mailing Address
First Line	:	1135 SUNRISE BEACH RD
Second Line	:
City	:	CROWNSVILLE
State	:	MD
Zip	:	21032-1126
Country	:	US
Telephone Number	:	410-991-8786
Fax Number	:	410-987-4149

Provider Business Practice Location Address
First Line	:	1135 SUNRISE BEACH RD
Second Line	:
City	:	CROWNSVILLE
State	:	MD
Zip	:	21032-1126
Country	:	US
Telephone Number	:	410-991-8786
Fax Number	:	410-987-4149

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

Provider Enumeration Date	:	04/01/2008
Last Update Date	:	05/15/2023

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