Individual
COLLEEN KIERNAN SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Mailing address
4753 BERRYWOOD RD, VIRGINIA BEACH, VA 23464-5870
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383358
NY
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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