Provider Demographics
NPI:1891475414
Name:SCHOENEMAN, ANNA (MSN, APRN-BC, PMHNP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SCHOENEMAN
Suffix:
Gender:F
Credentials:MSN, APRN-BC, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:872 S DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:KY
Mailing Address - Zip Code:40403-9524
Mailing Address - Country:US
Mailing Address - Phone:440-231-1449
Mailing Address - Fax:
Practice Address - Street 1:872 S DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:KY
Practice Address - Zip Code:40403-9524
Practice Address - Country:US
Practice Address - Phone:440-231-1449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4007127363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health