Provider Demographics
NPI:1548236789
Name:SCHNEIDER, DONNA M (NP)
Entity Type:Individual
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First Name:DONNA
Middle Name:M
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:8100 34TH AVE S
Mailing Address - Street 2:21110Q
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1672
Mailing Address - Country:US
Mailing Address - Phone:952-883-7961
Mailing Address - Fax:952-883-5395
Practice Address - Street 1:280 SMITH AVE N STE 700
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102
Practice Address - Country:US
Practice Address - Phone:651-241-6600
Practice Address - Fax:651-254-7957
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2018-07-11
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Provider Licenses
StateLicense IDTaxonomies
MNR0894915363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN365450800Medicaid