Provider Demographics
NPI:1427413129
Name:SCHRODER, MICHELLE (BSN)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:SCHRODER
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 BUCHTEL BLVD
Mailing Address - Street 2:3N RITCHIE CENTER
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3447
Mailing Address - Country:US
Mailing Address - Phone:303-871-4358
Mailing Address - Fax:303-871-4242
Practice Address - Street 1:2240 E BUCHTEL BLVD
Practice Address - Street 2:3N RITCHIE CENTER
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80208
Practice Address - Country:US
Practice Address - Phone:303-871-4358
Practice Address - Fax:303-871-4242
Is Sole Proprietor?:No
Enumeration Date:2015-12-22
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0195476163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse