Provider Demographics
NPI:1346541828
Name:SCHNEIDMAN-FERNANDEZ, DARIA M (NP)
Entity Type:Individual
Prefix:
First Name:DARIA
Middle Name:M
Last Name:SCHNEIDMAN-FERNANDEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1038 BRUSH HILL RD
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4904
Mailing Address - Country:US
Mailing Address - Phone:818-519-2072
Mailing Address - Fax:815-461-1264
Practice Address - Street 1:32144 AGOURA RD
Practice Address - Street 2:SUITE 218
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4031
Practice Address - Country:US
Practice Address - Phone:818-889-9230
Practice Address - Fax:818-889-9231
Is Sole Proprietor?:No
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP 5701363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily