Provider Demographics
NPI:1831956036
Name:SCHRADER, THERESA ANN (APRN)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:ANN
Last Name:SCHRADER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4102 ROCKDALE AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3937
Mailing Address - Country:US
Mailing Address - Phone:813-714-0461
Mailing Address - Fax:
Practice Address - Street 1:4102 ROCKDALE AVE UNIT A
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3937
Practice Address - Country:US
Practice Address - Phone:813-714-0461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNF01241460363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily