Provider Demographics
NPI:1720163082
Name:QUINN-SCHRADER, CHRISTINE R (PNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:R
Last Name:QUINN-SCHRADER
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2733 WEHRLE DR.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-631-3510
Mailing Address - Fax:716-631-9627
Practice Address - Street 1:2733 WEHRLE DR.
Practice Address - Street 2:SUITE 100
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-631-3510
Practice Address - Fax:716-631-9627
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380477-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics