Provider Demographics
NPI:1659619385
Name:SCHROEDER, CHRISTINA ELIZABETH (LPN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ELIZABETH
Last Name:SCHROEDER
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 1:8887 ROUTE 417 LOT 13
Mailing Address - Street 2:
Mailing Address - City:LITTLE GENESEE
Mailing Address - State:NY
Mailing Address - Zip Code:14754-9709
Mailing Address - Country:US
Mailing Address - Phone:585-928-5040
Mailing Address - Fax:
Practice Address - Street 1:8887 ROUTE 417 LOT 13
Practice Address - Street 2:
Practice Address - City:LITTLE GENESEE
Practice Address - State:NY
Practice Address - Zip Code:14754-9709
Practice Address - Country:US
Practice Address - Phone:585-928-5040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285949164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse