Individual
MRS. CAROLYN ANN SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
409 WILLIS STREET, SUITE 2, TAYLORSVILLE, MS 39168
(601) 785-9580
(601) 785-9910
Mailing address
P.O. BOX 4361, LAUREL, MS 39441-4361
(601) 425-3033
(601) 422-0431
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R716324
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07384513
—
MS
Enumeration date
08/28/2006
Last updated
06/04/2018
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