Provider Demographics
NPI:1164065066
Name:SCHROEDER, CHELSEY LYNN (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:LYNN
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11368 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-4372
Mailing Address - Country:US
Mailing Address - Phone:734-403-2222
Mailing Address - Fax:
Practice Address - Street 1:11368 ALLEN RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-4372
Practice Address - Country:US
Practice Address - Phone:734-403-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704295566363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily