| Doctor Name: | DR. MARY ANN SCHNEIDER |
| NPI Number: | 1568610491 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 17322 |
| Business Practice Address: | 318 Abalone Loop Dhhs-ihs-mescalero Health Clinic Mescalero, NM - 88340 |
| Business Phone Number: | 5754644441 |
| Business Fax Number: | 5754644422 |
| Mailing Address: | 318 Abalone Loop, Dhhs-ihs-mescalero Health Clinic MESCALERO |
| State: | NM |
| Postal Code: | 88340 |
| Phone Number: | 5754644441 |
| Fax Number: | 5754644422 |
| NPI Enumeration Date: | 09/04/2008 |
| NPI Last Update Date: | 11/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17322 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |