Provider Demographics
NPI:1356085740
Name:SCHNEIDER, BRIANNA JOY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:JOY
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 N MENTOR AVE
Mailing Address - Street 2:PO BOX 41298
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-9998
Mailing Address - Country:US
Mailing Address - Phone:909-435-6361
Mailing Address - Fax:
Practice Address - Street 1:9333 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2812
Practice Address - Country:US
Practice Address - Phone:909-435-6361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-22
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF10210136207Q00000X
CA95037569163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine