Provider Demographics
NPI:1265913008
Name:SCHNEIDER, ALICYN ANNETTE (RN)
Entity type:Individual
Prefix:
First Name:ALICYN
Middle Name:ANNETTE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ALICYN
Other - Middle Name:ANNETTE
Other - Last Name:LEMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4340 DECATUR DR APT 7216
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-9776
Mailing Address - Country:US
Mailing Address - Phone:325-261-2434
Mailing Address - Fax:
Practice Address - Street 1:4340 DECATUR DR APT 7216
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-9776
Practice Address - Country:US
Practice Address - Phone:325-261-2434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX913425163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse