Provider Demographics
NPI:1558024521
Name:SCHOENBAUER, JANEIL ANN (APRN)
Entity Type:Individual
Prefix:
First Name:JANEIL
Middle Name:ANN
Last Name:SCHOENBAUER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3555 WILLOW LAKE BLVD STE 290
Mailing Address - Street 2:
Mailing Address - City:VADNAIS HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55110-4465
Mailing Address - Country:US
Mailing Address - Phone:952-431-5330
Mailing Address - Fax:
Practice Address - Street 1:591 36 1/2 AVE NE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55418-1222
Practice Address - Country:US
Practice Address - Phone:612-850-8463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8673363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN8673OtherAPRN LICENSE