Mary Schroder, RN, IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Memphis, IN
NPI 1407273634 · NPPES record last updated Mar 26, 2014
Key facts
- NPI
- 1407273634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- 1060243 (KY)
- Practice address
- 7711 Old Highway 111
Memphis, IN 47143-9661 - Phone
- (502) 643-8195
- Fax
- (812) 246-5731
- NPI assigned
- Mar 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28097083A | IN | MD | Lactation Consultant (Registered Nurse) |
| 1060243 | KY | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 1060243 | KY | Yes |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 28097083A | IN |
Addresses
Primary practice location
7711 Old Highway 111
Memphis, IN 47143-9661
Mailing address
7711 Old Highway 111
Memphis, IN 47143-9661
Phone (502) 643-8195
Other providers in Memphis, IN
- Rem Indiana, Inc.
- Rem Indiana, Inc.
- Rem Indiana, Inc.
- Samantha Kristine Roth
- Chelsea Sayers
- Heidi Anne Sellers
- John Mark Tyler
All providers in Memphis, IN · Lactation Consultant (Registered Nurse) in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.