Healthcare Provider Details

I. General information

NPI: 1124450853
Provider Name (Legal Business Name): HEATHER ANN SCHRODER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2013
Last Update Date: 08/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2675 CENTRAL AVE
BILLINGS MT
59102-6686
US

IV. Provider business mailing address

1027 AVENUE E
BILLINGS MT
59102-3321
US

V. Phone/Fax

Practice location:
  • Phone: 406-238-2900
  • Fax:
Mailing address:
  • Phone: 406-696-0515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-RN-LIC-34648
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: