Provider Demographics
NPI:1235471939
Name:SCHRADER, CATHERINE CABILAO (LPN)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:CABILAO
Last Name:SCHRADER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 W SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-3516
Mailing Address - Country:US
Mailing Address - Phone:919-235-7494
Mailing Address - Fax:
Practice Address - Street 1:1211 W SUMMER ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-3516
Practice Address - Country:US
Practice Address - Phone:919-235-7494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI316771-31164W00000X
NC76532164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse