Provider Demographics
NPI:1194266569
Name:SCHROMM, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SCHROMM
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 1:1435 WAZEE ST
Mailing Address - Street 2:APT 504
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1481
Mailing Address - Country:US
Mailing Address - Phone:660-342-5889
Mailing Address - Fax:
Practice Address - Street 1:1435 WAZEE ST
Practice Address - Street 2:APT 504
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1481
Practice Address - Country:US
Practice Address - Phone:660-342-5889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist