Provider Demographics
NPI:1952663486
Name:SCHNELL, AUDREY MARIE LAVELLE
Entity Type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:MARIE LAVELLE
Last Name:SCHNELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 MCCAULEY ST
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-2763
Mailing Address - Country:US
Mailing Address - Phone:321-759-2875
Mailing Address - Fax:
Practice Address - Street 1:306 MCCAULEY ST
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-2763
Practice Address - Country:US
Practice Address - Phone:321-759-2875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician