Provider Demographics
NPI:1992190235
Name:SCHNEIDER, SAMANTHA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:LYNN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 VISTA BLVD UNIT 102
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-2845
Mailing Address - Country:US
Mailing Address - Phone:775-451-3376
Mailing Address - Fax:
Practice Address - Street 1:5050 VISTA BLVD UNIT 102
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-2845
Practice Address - Country:US
Practice Address - Phone:775-451-3376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-03
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV19793207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery