Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | RN162994 | MA |
NPI | 1013023530 |
---|---|
Provider Name | Ms. Margaret Schoenemann |
First Address | Springfield, MA 01144-1099 |
Second Address | Springfield, MA 01144-1099 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 08/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0328685 | (05) | MA |
P10681 | (02) |