Individual
BETH M SCHRAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCSFNP
Contact information
Practice address
100 E JACKSON ST, EDINA, MO 63537-1335
(660) 397-3571
(660) 397-2307
Mailing address
1416 CROWN DRIVE, KIRKSVILLE, MO 63501-2548
(660) 627-5757
(660) 627-5802
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
107529
MO
363LF0000X
Family Nurse Practitioner
107529
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426885000
—
MO
Enumeration date
12/20/2005
Last updated
04/27/2011
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