Healthcare Provider Details

I. General information

NPI: 1952841165
Provider Name (Legal Business Name): MICHELLE SCHROEDER PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date: 02/11/2022
Reactivation Date: 08/18/2022

III. Provider practice location address

2727 E BEECHER ST
ADRIAN MI
49221-3506
US

IV. Provider business mailing address

534 SUGAR MAPLE LN
TEMPERANCE MI
48182-1693
US

V. Phone/Fax

Practice location:
  • Phone: 517-265-3900
  • Fax:
Mailing address:
  • Phone: 419-205-7575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0031245
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704282108
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: