Individual
JULIE LYNN SCHNEIDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
804 KENYON RD, STE A, PHYSICIAN'S OFFICE BUILDING, WEST, FORT DODGE, IA 50501-5742
(515) 574-6120
(515) 574-6135
Mailing address
804 KENYON RD, STE A, PHYSICIAN'S OFFICE BUILDING, WEST, FORT DODGE, IA 50501-5742
(515) 574-6120
(515) 574-6135
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
T104919
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425041
—
IA
01
—
43945
BLUE CROSS BLUE SHIELD
IA
Enumeration date
05/11/2006
Last updated
07/08/2007
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