Provider Demographics
NPI:1447238613
Name:NEITZEL-SCHNEIDER, BARBARA L (ARNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:NEITZEL-SCHNEIDER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 N CENTER POINT RD
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-1231
Mailing Address - Country:US
Mailing Address - Phone:319-743-1440
Mailing Address - Fax:319-743-1444
Practice Address - Street 1:1075 N CENTER POINT RD
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-1231
Practice Address - Country:US
Practice Address - Phone:319-743-1440
Practice Address - Fax:319-743-1444
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA076226363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0421529Medicaid
IA0421529Medicaid
IA45307Medicare ID - Type Unspecified