Schraeder, Nicolle L

Schraeder, Nicolle L is an individual health care provider with primary practice located at 499 E Hampden Ave Ste 380 , Englewood CO 80113-3877. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Schraeder, Nicolle L can be contacted via phone (720) 493-3345.

Contact Information

Primary practice address
499 E Hampden Ave Ste 380 Englewood CO 80113-3877
Fax: (720) 874-4437
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 990615 Colorado

Profile Details

NPI number 1740529122
LBN Legal business name Schraeder, Nicolle L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2013
Last updated Dec 20th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740529122 NPPES
Colorado Other 556662YQPG MEDICARE PTAN
Colorado Other 556662YQ3L MEDICARE PTAN
Colorado MEDICAID 9000141708 MEDICARE PTAN

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