Provider Demographics
NPI:1134947203
Name:SCHROEDER, RAQUEL LAUREE (CNA)
Entity type:Individual
Prefix:MS
First Name:RAQUEL
Middle Name:LAUREE
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3216 14TH AVE W APT 101
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-1791
Mailing Address - Country:US
Mailing Address - Phone:206-737-6005
Mailing Address - Fax:
Practice Address - Street 1:3216 14TH AVE W APT 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-1791
Practice Address - Country:US
Practice Address - Phone:206-737-6005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-28
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC61560159376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide