Provider Demographics
NPI:1326677303
Name:SCHOONOVER, AMY DAWN (LVN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:DAWN
Last Name:SCHOONOVER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13808 UVALDE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1287
Mailing Address - Country:US
Mailing Address - Phone:361-542-6930
Mailing Address - Fax:
Practice Address - Street 1:13808 UVALDE AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1287
Practice Address - Country:US
Practice Address - Phone:361-542-6930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX197383164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse