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Individual

MS. BONNIE SCHROEDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1154 FRONTERA DR, LARAMIE, WY 82072-5024
(970) 380-9954
Mailing address
1154 FRONTERA DR, LARAMIE, WY 82072-5024
(970) 380-9954

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
162016
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
23424.0825
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128469000
WY
05
43527060
CO
Enumeration date
03/01/2006
Last updated
09/12/2013
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