Doctor Name: | MR. DANIEL JUDE SCHNEBELEN |
NPI Number: | 1114367190 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSN, APRN, NP-C |
License Number: | AP07371 |
Business Practice Address: | 14350 La Highway 73 Prairieville, LA - 707693617 |
Business Phone Number: | 2253133930 |
Business Fax Number: | 2253133940 |
Mailing Address: | 25335 Hackberry Ln, PLAQUEMINE |
State: | LA |
Postal Code: | 707644507 |
Phone Number: | 2258028080 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2013 |
NPI Last Update Date: | 07/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP07371 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |