Provider Demographics
NPI:1225035405
Name:SCHNEIDER, KAREN ALICE (MN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ALICE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 BIG WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:ROLESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27571-9330
Mailing Address - Country:US
Mailing Address - Phone:919-435-8271
Mailing Address - Fax:
Practice Address - Street 1:4420 LAKE BOONE TRL
Practice Address - Street 2:WOUND HEALING CENTER
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-7505
Practice Address - Country:US
Practice Address - Phone:919-604-9876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN085533 AP04525363LF0000X
NC0050-03237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0050-03237OtherAPPROVAL TO PRACTICE
NCMS 1700500OtherDEA
NC2593070AMedicare PIN
NC0050-03237OtherAPPROVAL TO PRACTICE