Provider Demographics
NPI:1992511315
Name:SCHROEDL, SUMMER MARIE (APRN)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:MARIE
Last Name:SCHROEDL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BAKER DR
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72715-6611
Mailing Address - Country:US
Mailing Address - Phone:402-599-0477
Mailing Address - Fax:
Practice Address - Street 1:6 BAKER DR
Practice Address - Street 2:
Practice Address - City:BELLA VISTA
Practice Address - State:AR
Practice Address - Zip Code:72715-6611
Practice Address - Country:US
Practice Address - Phone:402-599-0477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR230622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily