Provider Demographics
NPI:1710147517
Name:SCHOFIELD, RHIANNON MIMI (LVN)
Entity Type:Individual
Prefix:MISS
First Name:RHIANNON
Middle Name:MIMI
Last Name:SCHOFIELD
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 13TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-1408
Mailing Address - Country:US
Mailing Address - Phone:916-283-1629
Mailing Address - Fax:
Practice Address - Street 1:2212 13TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-1408
Practice Address - Country:US
Practice Address - Phone:916-283-1629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-15
Last Update Date:2008-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA213104164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse