Provider Demographics
NPI:1821075649
Name:SCHNEIDER, BETH A (APRN)
Entity Type:Individual
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First Name:BETH
Middle Name:A
Last Name:SCHNEIDER
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:1021 BANDANA BLVD E
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55108-5113
Mailing Address - Country:US
Mailing Address - Phone:651-241-9700
Mailing Address - Fax:651-241-9712
Practice Address - Street 1:1021 BANDANA BLVD E
Practice Address - Street 2:SUITE 100
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55108-5113
Practice Address - Country:US
Practice Address - Phone:651-241-9700
Practice Address - Fax:651-241-9712
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2020-11-10
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Provider Licenses
StateLicense IDTaxonomies
MNR 0984443163W00000X
MNCNP 0870363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1821075649Medicare UPIN