Provider Demographics
NPI:1548482284
Name:SCHREIBER, CAROL NANCY (NP)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:NANCY
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 N ROSE DR
Mailing Address - Street 2:#122
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3941
Mailing Address - Country:US
Mailing Address - Phone:714-961-0808
Mailing Address - Fax:714-961-0115
Practice Address - Street 1:1275 N ROSE DR
Practice Address - Street 2:#122
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3941
Practice Address - Country:US
Practice Address - Phone:714-961-0808
Practice Address - Fax:714-961-0115
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA362265207VH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARN362265Medicaid