Provider Demographics
NPI:1063220010
Name:SCHROEDTER, NANCY RAY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:RAY
Last Name:SCHROEDTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:752 18TH RD LOT 5
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:NE
Mailing Address - Zip Code:68788-4605
Mailing Address - Country:US
Mailing Address - Phone:402-380-0350
Mailing Address - Fax:
Practice Address - Street 1:540 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NE
Practice Address - Zip Code:68788-1314
Practice Address - Country:US
Practice Address - Phone:402-372-1118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider