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NPI Code Detail

MEDICARE: JAYME SCHROEDER SRNA

MEDICARE:   JAYME  SCHROEDER  SRNA
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
1367500000XCertified Registered Nurse AnesthetistRNA193046ME
2367500000XCertified Registered Nurse Anesthetist161299AK

General Provider Information

NPI Number : 1215466081
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYME SCHROEDER SRNA
Provider Business Mailing Address
First Line : PO BOX 73720
Second Line :
City : FAIRBANKS
State : AK
Zip : 99707-3720
Country : US
Telephone Number : 907-459-3500
Fax Number : 907-459-3526
Provider Business Practice Location Address
First Line : 300 MAIN ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7041
Country : US
Telephone Number : 207-795-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2017
Last Update Date : 07/14/2020

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Directions to “ JAYME SCHROEDER SRNA” Practice Location

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