Provider Demographics
NPI:1508501917
Name:SCHOONOVER, HEATHER DIANE (ARNP-CNS)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:DIANE
Last Name:SCHOONOVER
Suffix:
Gender:F
Credentials:ARNP-CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 SPIRIT LAKE HWY
Mailing Address - Street 2:
Mailing Address - City:SILVERLAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98645-9730
Mailing Address - Country:US
Mailing Address - Phone:360-261-0867
Mailing Address - Fax:
Practice Address - Street 1:3131 SPIRIT LAKE HWY
Practice Address - Street 2:
Practice Address - City:SILVERLAKE
Practice Address - State:WA
Practice Address - Zip Code:98645-9730
Practice Address - Country:US
Practice Address - Phone:360-261-0867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60642948364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health