Individual
AUTUMN BROOKE SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
24 CLINIC DR STE A, PARIS, KY 40361-2166
(859) 987-0302
Mailing address
24 CLINIC DR STE A, PARIS, KY 40361-2166
(859) 987-0302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013923
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100630540
—
KY
Enumeration date
10/07/2019
Last updated
12/31/2022
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