Schroader, Mitchelle L
Schroader, Mitchelle L is an individual health care provider with primary practice located at 1330 N Superior Ave , Tomah WI 54660-1130. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Schroader, Mitchelle L can be contacted via phone (608) 372-4111.Contact Information
Primary practice address
1330 N Superior Ave
Tomah WI 54660-1130
Phone: (608) 372-4111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN171045 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4615 | Wisconsin |
Profile Details
| NPI number | 1396789392 |
|---|---|
| LBN Legal business name | Schroader, Mitchelle L |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Sep 3rd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396789392 | NPPES |
| South Carolina | MEDICAID | GP3988 |
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