Schrader, Marietta

Schrader, Marietta is an individual health care provider with primary practice located at 702 Davison Rd , Lockport NY 14094-5371. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Schrader, Marietta can be contacted via phone (716) 514-9355.

Contact Information

Primary practice address
702 Davison Rd Lockport NY 14094-5371
Phone: (716) 514-9355
Fax: (716) 201-1630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F303221 New York

Profile Details

NPI number 1265517239
LBN Legal business name Schrader, Marietta
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Aug 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265517239 NPPES
New York MEDICAID 01000215

Popular Providers