Provider Demographics
NPI:1790469740
Name:SCHRADER, LAURA (DNP, AG-ACNP)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:SCHRADER
Suffix:
Gender:
Credentials:DNP, AG-ACNP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:HAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, AG-ACNP
Mailing Address - Street 1:34729 9TH PL SW
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-8440
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-2621
Practice Address - Country:US
Practice Address - Phone:404-712-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN336363363LA2100X
MI4704372792363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care