Doctor Name: | MRS. MISTI D SCHNEIDEWIND |
NPI Number: | 1013354547 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | ARNP9278244 |
Business Practice Address: | 105 Oakwood Cir Niceville, FL - 325784242 |
Business Phone Number: | 8508974547 |
Business Fax Number: | 8508974547 |
Mailing Address: | 105 Oakwood Cir, NICEVILLE |
State: | FL |
Postal Code: | 325784242 |
Phone Number: | 8508974547 |
Fax Number: | 8508974547 |
NPI Enumeration Date: | 05/23/2013 |
NPI Last Update Date: | 05/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9278244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |