Individual
DR. PEG MARY SCHANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
42 E LAUREL RD STE 1700, STRATFORD, NJ 08084-1354
(856) 566-7010
(856) 566-6956
Mailing address
42 E LAUREL RD STE 1700, STRATFORD, NJ 08084-1354
(856) 566-7010
(856) 566-6956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP1775
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00727300
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP 3043
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0567485
—
NJ
05
—
811895
—
AZ
01
—
868549
MEDICARE
NJ
Enumeration date
07/02/2006
Last updated
02/12/2020
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