Provider Demographics
NPI:1215696398
Name:SCHROEDER, DAYNA MERRILY
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:MERRILY
Last Name:SCHROEDER
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 1:834 SARAH MILES CT
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-8614
Mailing Address - Country:US
Mailing Address - Phone:920-901-3909
Mailing Address - Fax:
Practice Address - Street 1:834 SARAH MILES CT
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-8614
Practice Address - Country:US
Practice Address - Phone:920-901-3909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-15
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist