Provider Demographics
NPI:1972735819
Name:SCHNEIDER, HANNAH SHELTON (PA-C)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:SHELTON
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:LEIGH
Other - Last Name:SHELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3939 HOUMA BLVD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2921
Mailing Address - Country:US
Mailing Address - Phone:504-885-6464
Mailing Address - Fax:504-885-6414
Practice Address - Street 1:3939 HOUMA BLVD
Practice Address - Street 2:SUITE 21
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2921
Practice Address - Country:US
Practice Address - Phone:504-885-6464
Practice Address - Fax:504-885-6414
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9104793363A00000X
MSPA00619363A00000X
LAPA.200243363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
5CU88Medicare PIN