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Individual
JUSTINE SCHRADER
Active
Individual
JUSTINE SCHRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704278975
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704278975
MI
364SA2200X
Adult Health Clinical Nurse Specialist
4704278975
MI
364SG0600X
Gerontology Clinical Nurse Specialist
4704278975
MI
364SP2800X
Perioperative Clinical Nurse Specialist
4704278975
MI
Other
Enumeration date
09/23/2015
Last updated
03/17/2018
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