Anna Schnetzler, R.N
Individual provider Active NPI Registered Nurse · Girard, IL
NPI 1831632140 · NPPES record last updated Nov 18, 2016
Key facts
- NPI
- 1831632140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041192749 (IL)
- Practice address
- 30105 Proctor Rd
Girard, IL 62640-7284 - Phone
- (217) 652-1793
- NPI assigned
- Nov 18, 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041192749 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041192749 | IL | Yes |
Addresses
Primary practice location
30105 Proctor Rd
Girard, IL 62640-7284
Mailing address
30105 Proctor Rd
Girard, IL 62640-7284
Phone (217) 652-1793
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163W00000X | Medicaid | IL |
Other providers in Girard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2016. 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.