Individual
CODY SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
RT 9 AND RT 371, CROWNPOINT, NM 87313, CROWNPOINT, NM 87313
(505) 786-5291
Mailing address
PO BOX 358, CROWNPOINT, NM 87313-0358
(505) 786-5291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-119997
AL
163WE0003X
Emergency Registered Nurse
1-119997
AL
363LF0000X
Family Nurse Practitioner
Primary
10238982-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060012
—
AZ
Enumeration date
01/15/2013
Last updated
03/02/2017
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