| Doctor Name: | MRS. BRENDA J SHRADER |
| NPI Number: | 1669549846 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN0000033753 |
| Business Practice Address: | 901 Nance Rd New Market, TN - 378203551 |
| Business Phone Number: | 8654751841 |
| Business Fax Number: | 8654751841 |
| Mailing Address: | 901 Nance Rd, NEW MARKET |
| State: | TN |
| Postal Code: | 378203551 |
| Phone Number: | 8654751841 |
| Fax Number: | 8654751841 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | RN0000033753 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |