Provider Demographics
NPI:1932271178
Name:SCHNURR, ADRIENNE NICOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:NICOLE
Last Name:SCHNURR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:NICOLE
Other - Last Name:CASTROVINCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:10125 CROSSTOWN CIRCLE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3319
Mailing Address - Country:US
Mailing Address - Phone:952-944-2300
Mailing Address - Fax:952-944-6655
Practice Address - Street 1:10125 CROSSTOWN CIRCLE
Practice Address - Street 2:SUITE 115
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-3319
Practice Address - Country:US
Practice Address - Phone:952-944-2300
Practice Address - Fax:952-944-6655
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4492111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN940S2HEOtherBCBS
MN998155100Medicaid
MN940S2HEOtherBCBS
MN998155100Medicaid