Provider Demographics
NPI:1003163635
Name:SCHADT, JOADA RAE (RN)
Entity Type:Individual
Prefix:
First Name:JOADA
Middle Name:RAE
Last Name:SCHADT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21020 SE 256TH PL
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-7551
Mailing Address - Country:US
Mailing Address - Phone:425-413-0801
Mailing Address - Fax:425-413-2919
Practice Address - Street 1:21020 SE 256TH PL
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-7551
Practice Address - Country:US
Practice Address - Phone:425-413-0801
Practice Address - Fax:425-413-2919
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00059669163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse