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Contact Information

JUSTINE SCHRADER
1979 HOLLAND AVE
PORT HURON, MI48060-8639
 Phone: 810-982-1200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Adult Health

364SA2200X 89 Certified Clinical Nurse Specialist
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Perioperative

364SP2800X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for JUSTINE SCHRADER · (Female)

NPI Number 1003285859
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2015
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704278975
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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