Healthcare Provider Details

I. General information

NPI: 1932257235
Provider Name (Legal Business Name): CATHERINE S SCHROEDER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 MAIN ST
BRAWLEY CA
92227-2630
US

IV. Provider business mailing address

900 MAIN ST
BRAWLEY CA
92227-2630
US

V. Phone/Fax

Practice location:
  • Phone: 760-344-6471
  • Fax:
Mailing address:
  • Phone: 760-344-6471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number3989
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95033291
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116865
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: