Provider Demographics
NPI:1437768785
Name:SCHNEIDER, ANGELA ASHLEY (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:ASHLEY
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1693 OLD PARKER TER
Mailing Address - Street 2:
Mailing Address - City:ELLIJAY
Mailing Address - State:GA
Mailing Address - Zip Code:30536-4930
Mailing Address - Country:US
Mailing Address - Phone:706-273-1116
Mailing Address - Fax:
Practice Address - Street 1:822 INDUSTRIAL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ELLIJAY
Practice Address - State:GA
Practice Address - Zip Code:30540-3804
Practice Address - Country:US
Practice Address - Phone:706-515-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN164065363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily