Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN001861 | NV |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN001861 | NV |
NPI | 1013311380 |
---|---|
Provider Name | Shanna Lynn Schreurs |
First Address | Reno, NV 89502-0845 |
Second Address | Reno, NV 89519-6331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2014 |
Last Update Date | 08/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12774102 | CAQH (01) | NV |
APRN001861 | APRN LICENSE (01) | NV |