Provider Demographics
NPI:1518014646
Name:SCHOENECKER, EVELYN M (MS, APRN, BC)
Entity Type:Individual
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First Name:EVELYN
Middle Name:M
Last Name:SCHOENECKER
Suffix:
Gender:F
Credentials:MS, APRN, BC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1681 ROSEWOOD AVE N
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-3605
Mailing Address - Country:US
Mailing Address - Phone:651-777-0874
Mailing Address - Fax:
Practice Address - Street 1:1575 BEAM AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1126
Practice Address - Country:US
Practice Address - Phone:651-232-7863
Practice Address - Fax:651-232-7240
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR124181-3364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist