National Provider Identifier

Marietta Schrader, ANP

Marietta Schrader, ANP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Lockport, NY and a listed phone number of (716) 514-9355.

NPI 1265517239Lockport, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1265517239
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
October 26, 2006
Last Updated
August 22, 2013

Practice Location

  • 702 Davison RD
  • Lockport, NY 14094-5371

Phone: (716) 514-9355

Mailing Address

  • 32 Gaffney RD
  • Lockport, NY 14094-5536

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1265517239
Entity Type
Individual
Last Name
Schrader
First Name
Marietta
Name Prefix
Mrs.
Credential
ANP
Mailing Street Address
32 Gaffney RD
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-5536
Mailing Country
US
Mailing Phone
(716) 434-4957
Practice Street Address
702 Davison RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5371
Practice Country
US
Practice Phone
(716) 514-9355
Practice Fax
(716) 201-1630
Enumeration Date
October 26, 2006
Last Updated
August 22, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)
Other Identifiers
01000215 (NY)