Provider Demographics
NPI:1356338099
Name:SCHNEIDER, SUSAN MARIE (RN, APN, C)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:MARIE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:RN, APN, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:501 IRON BRIDGE ROAD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728
Mailing Address - Country:US
Mailing Address - Phone:732-431-1807
Mailing Address - Fax:732-409-2777
Practice Address - Street 1:501 IRON BRIDGE ROAD
Practice Address - Street 2:SUITE 4
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728
Practice Address - Country:US
Practice Address - Phone:732-431-1807
Practice Address - Fax:732-409-2777
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJNN77349363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology