MEDICARE: SARAH ELIZABETH SCHROB APRN, FNP-C

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	363LF0000X	Family Nurse Practitioner	AP142917	TX

General Provider Information

NPI Number	:	1407476187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH SCHROB APRN, FNP-C

Provider Business Mailing Address
First Line	:	6040 CAMP BOWIE BLVD
Second Line	:	STE 24
City	:	FORT WORTH
State	:	TX
Zip	:	76116-5602
Country	:	US
Telephone Number	:	214-669-0240
Fax Number	:

Provider Business Practice Location Address
First Line	:	6040 CAMP BOWIE BLVD STE 24
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-5602
Country	:	US
Telephone Number	:	817-735-1180
Fax Number	:

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

Provider Enumeration Date	:	04/22/2020
Last Update Date	:	06/23/2020

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