MEDICARE: MRS. ELISABETH SOMERS SCHRIENK 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.390377	OH

General Provider Information

NPI Number	:	1821360462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELISABETH SOMERS SCHRIENK RN

Provider Business Mailing Address
First Line	:	4815 ECHOMOORE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-5958
Country	:	US
Telephone Number	:	614-499-5277
Fax Number	:

Provider Business Practice Location Address
First Line	:	1631 FERRIS RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-2123
Country	:	US
Telephone Number	:	614-378-3802
Fax Number	:

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

Provider Enumeration Date	:	01/28/2012
Last Update Date	:	02/20/2020

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