Casey Schneider

Individual provider Active NPI Licensed Practical Nurse · Gaines, PA

NPI 1669923736 · NPPES record last updated Oct 24, 2016

Key facts

NPI
1669923736
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
9261062 (NY)
Practice address
136 Highland Drive
Gaines, PA 16921
Phone
(585) 406-6114
NPI assigned
Oct 24, 2016
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

LicenseStateTypeSpecialty
9261062NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 9261062 NY Yes

Addresses

Primary practice location

136 Highland Drive
Gaines, PA 16921

Mailing address

136 Highland Drive
Gaines, PA 16921
Phone (585) 406-6114

Other providers in Gaines, PA

All providers in Gaines, PA · Licensed Practical Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.