Individual
AMELIA ELENA SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3458
(256) 845-3150
Mailing address
638 MEMORIAL DR, RISING FAWN, GA 30738-5126
(423) 315-3514
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1004305
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
3-000998
AL
Other
Enumeration date
07/13/2019
Last updated
05/18/2025
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