Basic Information
Provider Information
NPI: 1982827457
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHRAMM
FirstName: ALICIA
MiddleName: ANN
NamePrefix:  
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Credential: NP
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Mailing Information
Address1: 10 ALICE PECK DAY DR
Address2:  
City: LEBANON
State: NH
PostalCode: 037662900
CountryCode: US
TelephoneNumber: 6034483121
FaxNumber:  
Practice Location
Address1: 2959 MOUNTAINEER CIR
Address2:  
City: STEAMBOAT SPRINGS
State: CO
PostalCode: 804872225
CountryCode: US
TelephoneNumber: 9708711896
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/11/2007
LastUpdateDate: 04/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200X06060923NHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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