Doctor Name: | RONAEL M SCHNEEBERGER |
NPI Number: | 1679998892 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APNP |
License Number: | 5668 |
Business Practice Address: | 904 W Main St Waupun, WI - 539631201 |
Business Phone Number: | 9203248700 |
Business Fax Number: | 9203243484 |
Mailing Address: | 420 E Division St, FOND DU LAC |
State: | WI |
Postal Code: | 549354560 |
Phone Number: | 9209268340 |
Fax Number: | 9209268370 |
NPI Enumeration Date: | 02/25/2014 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |