MEDICARE: ELIZABETH BOWES SCHOMAKER CRNA

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	367500000X	Certified Registered Nurse Anesthetist	139830	OH

General Provider Information

NPI Number	:	1174853030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH BOWES SCHOMAKER CRNA

Provider Business Mailing Address
First Line	:	3229 BURNET AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3095
Country	:	US
Telephone Number	:	513-872-6310
Fax Number	:

Provider Business Practice Location Address
First Line	:	3229 BURNET AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3095
Country	:	US
Telephone Number	:	513-872-6310
Fax Number	:

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

Provider Enumeration Date	:	12/28/2009
Last Update Date	:	12/28/2009

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