Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTINE SCHRADER
Deactivated Sole ProprietorPrimary Care Nurse Practitioner · PORT HURON, MI
This NPI has been deactivated.
The record was deactivated on February 6, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1003285859
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2015 (2.372602739726 yrs)
- Last Updated
- Mar 17, 2018
- Deactivated
- Feb 6, 2018
- Licenses
-
4704278975 (MI)4704278975 (MI)4704278975 (MI)4704278975 (MI)4704278975 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1979 HOLLAND AVEPORT HURON, MI, 480608639Browse MI providers · Browse ZIP 48060
- Phone
- 8109821200
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Adult Health Clinical Nurse Specialist
- Additional Specialty
- Gerontological Clinical Nurse Specialist
- Additional Specialty
- Primary Care Clinical Nurse Specialist
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in PORT HURON, MI
| Name | Credential | NPI |
|---|---|---|
| DR. CLAYTON DONALD HOUSE | FNP-C | 1780282004 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.