Provider Demographics
NPI:1205194784
Name:SCHNEIDER, CINDY KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:KAY
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 E UNION HILLS DR
Mailing Address - Street 2:# 116
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-3386
Mailing Address - Country:US
Mailing Address - Phone:602-277-2273
Mailing Address - Fax:602-277-2283
Practice Address - Street 1:4045 E UNION HILLS DR
Practice Address - Street 2:# 116
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-3386
Practice Address - Country:US
Practice Address - Phone:602-277-2273
Practice Address - Fax:602-277-2283
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19485133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric