Basic Information
Provider Information
NPI: 1730402330
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHRANZ
FirstName: CAITLIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
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Mailing Information
Address1: 227 LAUREL RD STE 300
Address2:  
City: VOORHEES
State: NJ
PostalCode: 080438303
CountryCode: US
TelephoneNumber: 8566696050
FaxNumber: 8565283117
Practice Location
Address1: 150 CENTURY PKWY
Address2: SUITE A
City: MOUNT LAUREL
State: NJ
PostalCode: 080541129
CountryCode: US
TelephoneNumber: 8567784700
FaxNumber: 8567781572
Other Information
ProviderEnumerationDate: 03/10/2010
LastUpdateDate: 02/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 02/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X25ME00047901NJY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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