Provider Demographics
NPI:1134389513
Name:SCHROEDER, SHARON KAY (CPNP, APNP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:CPNP, APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W200S8403 WOODS RD
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-9372
Mailing Address - Country:US
Mailing Address - Phone:262-679-8708
Mailing Address - Fax:
Practice Address - Street 1:9000 W WISCONSIN AVE # MS 782-A
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-266-6477
Practice Address - Fax:414-266-6989
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI546-033363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics