Provider Demographics
NPI:1619948338
Name:SCHUMACHER, MARNIE G (ARNP)
Entity Type:Individual
Prefix:
First Name:MARNIE
Middle Name:G
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 525
Mailing Address - Street 2:
Mailing Address - City:COSMOPOLIS
Mailing Address - State:WA
Mailing Address - Zip Code:98537-0525
Mailing Address - Country:US
Mailing Address - Phone:360-532-8631
Mailing Address - Fax:360-533-6272
Practice Address - Street 1:2109 SUMNER AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-3600
Practice Address - Country:US
Practice Address - Phone:360-532-8631
Practice Address - Fax:360-533-6272
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30002361364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health