Provider Demographics
NPI:1750861977
Name:SCHNEIDER, ANDREA NICOLE B (ARNP, EAMP)
Entity Type:Individual
Prefix:
First Name:ANDREA NICOLE
Middle Name:B
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:ARNP, EAMP
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:B
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP, EAMP
Mailing Address - Street 1:19515 N CREEK PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-8200
Mailing Address - Country:US
Mailing Address - Phone:425-949-0204
Mailing Address - Fax:855-936-3250
Practice Address - Street 1:19515 N CREEK PKWY STE 202
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-8200
Practice Address - Country:US
Practice Address - Phone:425-949-0204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-16
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171100000X, 175F00000X
WAAP61479985363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath