Provider Demographics
NPI:1154305159
Name:SCHOENING, AMY RACHELLE (PA-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:RACHELLE
Last Name:SCHOENING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 W MOANA LN
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4903
Mailing Address - Country:US
Mailing Address - Phone:775-323-2135
Mailing Address - Fax:775-323-6435
Practice Address - Street 1:640 W MOANA LN
Practice Address - Street 2:SUITE 2
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4903
Practice Address - Country:US
Practice Address - Phone:775-323-2135
Practice Address - Fax:775-323-6435
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVPA746363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVP86291Medicare UPIN