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NPI Code Detail

MEDICARE: KARA M SHRADER APRN

MEDICARE:   KARA M SHRADER  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered Nurse872139TX
2363LP0808XPsychiatric/Mental Health Nurse Practitioner1129245TX
3363LP0808XPsychiatric/Mental Health Nurse Practitioner101969CO

General Provider Information

NPI Number : 1992406896
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA M SHRADER APRN
Provider Business Mailing Address
First Line : 9524 FEDERAL DR STE 120
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-4342
Country : US
Telephone Number : 719-394-3352
Fax Number :
Provider Business Practice Location Address
First Line : 9524 FEDERAL DR STE 120
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-4342
Country : US
Telephone Number : 719-394-3352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2023
Last Update Date : 04/06/2026

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Directions to “ KARA M SHRADER APRN” Practice Location

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