# JUSTINE SCHRADER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003285859
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704278975 | MI | — |
| 363LP2300X | Primary Care Nurse Practitioner | 4704278975 | MI | Yes |
| 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