Healthcare Provider Details

I. General information

NPI: 1063586824
Provider Name (Legal Business Name): WENDY N SCHROEDER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 CAROLINE ST
PORT ANGELES WA
98362-3909
US

IV. Provider business mailing address

881 WASHINGTON HARBOR RD
SEQUIM WA
98382-9318
US

V. Phone/Fax

Practice location:
  • Phone: 360-417-7000
  • Fax: 360-417-7342
Mailing address:
  • Phone: 360-681-4347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00134069
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: