Provider Demographics
NPI:1912620477
Name:SCHROEDER-HOAR, ALEXANDRA RAE
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:RAE
Last Name:SCHROEDER-HOAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 ERWIN RD RM 11B42
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4699
Mailing Address - Country:US
Mailing Address - Phone:614-519-4132
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN ROAD DUKE CENTRAL TOWER ROOM 11B42
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-6639
Practice Address - Country:US
Practice Address - Phone:614-519-4132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-20
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCSCHR-FD7UG363LA2100X
NC5017203363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care