Provider Demographics
NPI:1851441927
Name:SCHNEIDER, NANCY ANN (NP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:NP
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 408
Mailing Address - Street 2:
Mailing Address - City:LOREAUVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70552-0408
Mailing Address - Country:US
Mailing Address - Phone:337-229-6391
Mailing Address - Fax:
Practice Address - Street 1:1302 ED BROUSSARD ROAD
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70563
Practice Address - Country:US
Practice Address - Phone:337-229-7929
Practice Address - Fax:337-229-7927
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA38522-1179363LF0000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1994511Medicaid
LAR14762Medicare UPIN
LA5S752CW54Medicare PIN