Provider Demographics
NPI:1700810595
Name:SCHNEIDER, KIRSTEN ANN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:KIRSTEN
Middle Name:ANN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801A N RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-1219
Mailing Address - Country:US
Mailing Address - Phone:214-529-7610
Mailing Address - Fax:
Practice Address - Street 1:4100 S. HOSPITAL DR. #302
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317
Practice Address - Country:US
Practice Address - Phone:954-321-1591
Practice Address - Fax:954-584-0025
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9231783363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL307652100Medicaid