Provider Demographics
NPI:1740477918
Name:SCHNEIDER, KIERSTEN VEJA (LVN)
Entity type:Individual
Prefix:
First Name:KIERSTEN
Middle Name:VEJA
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 E SEAVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-2152
Mailing Address - Country:US
Mailing Address - Phone:707-748-4381
Mailing Address - Fax:
Practice Address - Street 1:122 E SEAVIEW DR
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-2152
Practice Address - Country:US
Practice Address - Phone:707-748-4381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN167295164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse