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Contact Information

DEBRA B SCHROEDER, ARNP
1201 W MAIN ST
JENKS, OK74037-2311
 Phone: 918-518-5770
 Fax: 918-518-5773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Lactation Consultant

163WL0100X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for DEBRA B SCHROEDER · (Female)

NPI Number 1932403318
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 12/29/2010
Last updated 06/04/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • License # NA
  • OK License # 10928150
  • OK License # R35175
  • OK Medicaid 200531260A
  • Other 329716 PTAN
  • OK Other 9712 MEDICAID PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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