Provider Demographics
NPI:1972389740
Name:SCHNEIDER, ALECIA RENEE
Entity Type:Individual
Prefix:
First Name:ALECIA
Middle Name:RENEE
Last Name:SCHNEIDER
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 1:1510 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97424-2755
Mailing Address - Country:US
Mailing Address - Phone:541-650-1675
Mailing Address - Fax:
Practice Address - Street 1:1510 S 8TH ST
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:OR
Practice Address - Zip Code:97424-2755
Practice Address - Country:US
Practice Address - Phone:541-650-1675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide