Beth M Schrage
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
100 E Jackson St
Edina
, Missouri 63537-1335
Beth M Schrage
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
100 E Jackson St
Edina
, Missouri 63537-1335
(660) 627-5802
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About
Features
Specialties
- Nurse Practitioner - Community Health
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Beth M Schrage
- 1416 Crown Drive
- Kirksville, MO
- Zip : 63501-2548
- Fax : (660) 627-5802
- Phone : (660) 627-5757
Second Address
- Beth M Schrage
- 100 E Jackson St
- Edina, MO
- Zip : 63537-1335
- Fax : (660) 397-2307
- Phone : (660) 397-3571
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 107529 | MO |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 107529 | MO |
National Provider Identifier
| NPI | 1023094240 |
|---|---|
| Provider Name | Beth M Schrage |
| First Address | Kirksville, MO 63501-2548 |
| Second Address | Edina, MO 63537-1335 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2005 |
| Last Update Date | 27/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 426885000 | (05) | MO |
| R22213 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.