Provider Demographics
NPI:1912544057
Name:SCHNADER, VALERIE WARD (RD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:WARD
Last Name:SCHNADER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:ROSE
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:1012 E 33RD PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-2539
Mailing Address - Country:US
Mailing Address - Phone:303-859-9072
Mailing Address - Fax:
Practice Address - Street 1:6161 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1902
Practice Address - Country:US
Practice Address - Phone:918-494-2189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2242133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered