Provider Demographics
NPI:1518037662
Name:SCHNUERER, SUSAN (APRN, RN, BC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:SCHNUERER
Suffix:
Gender:F
Credentials:APRN, RN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 POPLAR VIEW LN S
Mailing Address - Street 2:SUITE 1
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-3168
Mailing Address - Country:US
Mailing Address - Phone:901-457-7871
Mailing Address - Fax:901-457-7872
Practice Address - Street 1:1125 POPLAR VIEW LN S
Practice Address - Street 2:SUITE 1
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-3168
Practice Address - Country:US
Practice Address - Phone:901-457-7871
Practice Address - Fax:901-457-7872
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2015-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 7280363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09782845Medicaid
TN3349106Medicare UPIN
TN33412741Medicare PIN
MS09782845Medicaid
TN3387193Medicaid
TN3349106Medicare ID - Type Unspecified