Heather Diane Schoonover, ARNP-CNS
Individual provider Active NPI Community Health/Public Health Clinical Nurse Specialist · Silverlake, WA
NPI 1508501917 · NPPES record last updated Apr 29, 2022
Key facts
- NPI
- 1508501917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health/Public Health Clinical Nurse Specialist 364SC1501X
- License
- 60642948 (WA)
- Practice address
- 3131 Spirit Lake Hwy
Silverlake, WA 98645-9730 - Phone
- (360) 261-0867
- NPI assigned
- Apr 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60642948 | WA | MD | Community Health/Public Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X | 60642948 | WA | Yes |
Addresses
Primary practice location
3131 Spirit Lake Hwy
Silverlake, WA 98645-9730
Mailing address
3131 Spirit Lake Hwy
Silverlake, WA 98645-9730
Phone (360) 261-0867
Other providers in Silverlake, WA
All providers in Silverlake, WA · Community Health/Public Health Clinical Nurse Specialist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.