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Mrs. Marietta Schrader, ANP
Adult Health Nurse Practitioner in Lockport, New York
NPI 1265517239

Marietta Schrader is an Adult Health Nurse Practitioner based in Lockport, NY and is specialized in Adult Health. Marietta Schrader practices in Lockport, NY and has the professional credentials of ANP. The NPI Number for Marietta Schrader is 1265517239 and holds a License No. F303221 (New York).

The current practice location address for Marietta Schrader is 702 Davison Rd, Lockport, NY and can be reached out via phone at 716-514-9355 and via fax at 716-201-1630.

Location: 702 Davison Rd, Lockport, NY, 14094-5536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265517239
Provider Name
Marietta Schrader
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
702 Davison Rd, Lockport, NY, 14094-5536
Phone Number
716-514-9355
Fax Number
716-201-1630
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01000215 05 NY
institution
Provider Business Practice Location Address Details
Address
702 Davison Rd
City
Lockport
State
New York
Zip
14094-5371
Phone Number
716-514-9355
Fax Number
716-201-1630
person
Provider Business Mailing Address Details
Address
702 Davison Rd
City
Lockport
State
New York
Zip
14094-5371
Phone Number
716-514-9355
Fax Number
716-201-1630
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F303221 (New York)
Definition
Definition to come...
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