Provider Demographics
NPI:1275613663
Name:SCHONEBOOM, CHANTEL MARIE (CNM)
Entity Type:Individual
Prefix:MRS
First Name:CHANTEL
Middle Name:MARIE
Last Name:SCHONEBOOM
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5426 S JASPER WAY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-4226
Mailing Address - Country:US
Mailing Address - Phone:720-951-4245
Mailing Address - Fax:
Practice Address - Street 1:13120 E 19TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2567
Practice Address - Country:US
Practice Address - Phone:303-724-1362
Practice Address - Fax:303-724-8333
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0170010-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife