Individual
MRS. BRENDA J SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 NANCE RD, NEW MARKET, TN 37820-3551
(865) 475-1841
(865) 475-1841
Mailing address
901 NANCE RD, NEW MARKET, TN 37820-3551
(865) 475-1841
(865) 475-1841
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN0000033753
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454624
—
TN
Enumeration date
11/30/2006
Last updated
07/08/2007
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