Provider Demographics
NPI:1326720228
Name:SCHOENFELD, COLEEN PATRICE
Entity Type:Individual
Prefix:
First Name:COLEEN
Middle Name:PATRICE
Last Name:SCHOENFELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4326 RIDGEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-5019
Mailing Address - Country:US
Mailing Address - Phone:513-519-9432
Mailing Address - Fax:
Practice Address - Street 1:4326 RIDGEVIEW AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-5019
Practice Address - Country:US
Practice Address - Phone:513-519-9432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker