JUSTINE SCHRADER NPI 1003285859

NPI Information

  • NPI: 1003285859
  • Provider Name: JUSTINE SCHRADER
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1979 HOLLAND AVE
    PORT HURON, MI
    ZIP 48060
  • Phone: (810) 982-1200

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NPI Details

Justine Schrader is a primary care nurse practitioner in Port Huron, MI. Justine Schrader NPI is 1003285859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1979 HOLLAND AVE
PORT HURON, MI
ZIP 48060-639
Phone: (810) 982-1200

The NPI 1003285859 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/23/2015 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner4704278975MICHIGANNo
2364SA2200XClinical Nurse SpecialistAdult Health4704278975MICHIGANNo
3364SG0600XClinical Nurse SpecialistGerontology4704278975MICHIGANNo
4364SP2800XClinical Nurse SpecialistPerioperative4704278975MICHIGANNo
5363LP2300XNurse PractitionerPrimary Care4704278975MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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