Provider Demographics
NPI:1013698588
Name:SCHNEIDER, BREANNA LOUISE
Entity Type:Individual
Prefix:
First Name:BREANNA
Middle Name:LOUISE
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 1:7920 STEINWAY RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2647
Mailing Address - Country:US
Mailing Address - Phone:531-289-0938
Mailing Address - Fax:
Practice Address - Street 1:7920 STEINWAY RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2647
Practice Address - Country:US
Practice Address - Phone:531-289-0938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider