MEDICARE: MS. CORRINE SCHRAUFNAGEL BSN, RN

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	163W00000X	Registered Nurse	RN.1617901	CO

General Provider Information

NPI Number	:	1457754996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CORRINE SCHRAUFNAGEL BSN, RN

Provider Business Mailing Address
First Line	:	2111 CHAMPA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-2529
Country	:	US
Telephone Number	:	303-293-2217
Fax Number	:

Provider Business Practice Location Address
First Line	:	3636 W COLFAX AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1513
Country	:	US
Telephone Number	:	303-629-1667
Fax Number	:

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

Provider Enumeration Date	:	09/29/2014
Last Update Date	:	09/29/2014

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