| Doctor Name: | TARA SCHROEDER |
| NPI Number: | 1053752220 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F0613893 |
| Business Practice Address: | 101 Martin Luther King Dr Mankato, MN - 560016460 |
| Business Phone Number: | 5073856500 |
| Business Fax Number: | |
| Mailing Address: | 2110 Turpin St, SAINT PETER |
| State: | MN |
| Postal Code: | 560821776 |
| Phone Number: | 6056603288 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2013 |
| NPI Last Update Date: | 07/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F0613893 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |