Individual
RYAN N SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PHN, BSN
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-3456
Mailing address
797 JUNO AVE, SAINT PAUL, MN 55102-3821
(262) 893-7548
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2457681
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2457681
NURSING LICENSE RN
MN
01
—
25628
NURSING LICENSE PHN
MN
Enumeration date
09/03/2019
Last updated
09/03/2019
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