Provider Demographics
NPI:1417345547
Name:SCHODROSKI, DEIDRE E (FNP)
Entity Type:Individual
Prefix:
First Name:DEIDRE
Middle Name:E
Last Name:SCHODROSKI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6422 E SPEEDWAY BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-1149
Mailing Address - Country:US
Mailing Address - Phone:520-318-3004
Mailing Address - Fax:520-318-3061
Practice Address - Street 1:5155 E FARNESS DR STE 111A
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2158
Practice Address - Country:US
Practice Address - Phone:520-420-1000
Practice Address - Fax:520-420-1001
Is Sole Proprietor?:No
Enumeration Date:2014-12-23
Last Update Date:2024-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZAP7527363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily