Individual
MR. JEFFREY LYNN SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED REGISTERED
Contact information
Practice address
13254 WINDSONG LN, CLARKSBURG, MD 20871-5302
(301) 515-8464
Mailing address
13254 WINDSONG LN, CLARKSBURG, MD 20871-5302
(301) 515-8464
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R166136
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8273022 00
—
MD
01
—
KBC1CH
CAREFIRST BCBS
MD
01
—
S417-0006
CAREFIRST BCBS
DC
Enumeration date
09/27/2005
Last updated
05/06/2010
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