Individual
HAILEY NICOLE SHRODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
140 W MAIN ST STE 100, SPRINGFIELD, OH 45502-1369
(937) 641-1235
Mailing address
4300 BURCHDALE ST, DAYTON, OH 45440-1433
(937) 641-1235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
Other
Enumeration date
01/25/2025
Last updated
05/12/2025
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