Provider Demographics
NPI:1740378546
Name:SCHNEIDER, KAREN ANNE (FNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANNE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3917 WEST ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544
Mailing Address - Country:US
Mailing Address - Phone:505-661-8900
Mailing Address - Fax:505-661-8987
Practice Address - Street 1:3917 WEST ROAD SUITE A
Practice Address - Street 2:MEDICAL ASSOCIATES OF NORTHERN NEW MEXICO
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544
Practice Address - Country:US
Practice Address - Phone:505-661-8900
Practice Address - Fax:505-661-8987
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333128363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03350314Medicaid
NYA400052004Medicare PIN