Provider Demographics
NPI:1588626758
Name:SCHNOOR, RHAE ELLEN NA (RN)
Entity Type:Individual
Prefix:MS
First Name:RHAE ELLEN
Middle Name:NA
Last Name:SCHNOOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2348 COUNTY ROAD G
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-9270
Mailing Address - Country:US
Mailing Address - Phone:715-362-7620
Mailing Address - Fax:
Practice Address - Street 1:2348 COUNTY ROAD G
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-9270
Practice Address - Country:US
Practice Address - Phone:715-362-7620
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI63717-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38325300Medicaid