Individual
DARA MARIE SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 N COTNER BLVD, SUITE 208, LINCOLN, NE 68505-2343
(402) 464-5969
(402) 464-3657
Mailing address
1352 GARRETT AVE, WAHOO, NE 68066-4096
(402) 443-1518
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1103
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103
STATE LICENSE NUMBER
NE
Enumeration date
12/28/2005
Last updated
07/13/2016
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