Provider Demographics
NPI:1013354547
Name:SCHNEIDEWIND, MISTI D (NP)
Entity Type:Individual
Prefix:MRS
First Name:MISTI
Middle Name:D
Last Name:SCHNEIDEWIND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 OAKWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-4242
Mailing Address - Country:US
Mailing Address - Phone:850-897-4547
Mailing Address - Fax:850-897-4547
Practice Address - Street 1:105 OAKWOOD CIR
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-4242
Practice Address - Country:US
Practice Address - Phone:850-897-4547
Practice Address - Fax:850-897-4547
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9278244363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily