Provider Demographics
NPI:1255582359
Name:SCHOENHERR, REBECCA LYNN (APNP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNN
Last Name:SCHOENHERR
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9435 W PEORIA AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-6479
Mailing Address - Country:US
Mailing Address - Phone:623-583-4848
Mailing Address - Fax:623-583-3285
Practice Address - Street 1:9435 W PEORIA AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-6479
Practice Address - Country:US
Practice Address - Phone:623-583-4848
Practice Address - Fax:623-583-3285
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7294363LF0000X
WI3511-33363LF0000X
IL209.008504.041.38844363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily