Provider Demographics
NPI:1972063089
Name:SCHNEIDER, MICHELE ANNE (HEALTH COACH)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:ANNE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:ANNE
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:2716 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-3125
Mailing Address - Country:US
Mailing Address - Phone:406-403-3894
Mailing Address - Fax:
Practice Address - Street 1:2716 6TH AVE S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-3125
Practice Address - Country:US
Practice Address - Phone:406-403-3894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-23
Last Update Date:2019-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTN908415174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator