Provider Demographics
NPI:1487633004
Name:SCHROEDER, JAN (RN)
Entity Type:Individual
Prefix:MS
First Name:JAN
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JAN
Other - Middle Name:
Other - Last Name:HINYTZKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1590 W SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-6633
Mailing Address - Country:US
Mailing Address - Phone:702-486-6700
Mailing Address - Fax:702-486-6708
Practice Address - Street 1:1590 W SUNSET RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-6633
Practice Address - Country:US
Practice Address - Phone:702-486-6700
Practice Address - Fax:702-486-6708
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT356470-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse