Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 128045 | OK |
N | 363LN0000X | Nurse Practitioner - Neonatal | 75137 | KS |
NPI | 1023307279 |
---|---|
Provider Name | Angela M Schrag |
First Address | Oklahoma City, OK 73112-5555 |
Second Address | Oklahoma City, OK 73112-4418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 28/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200737750A | (05) | KS |