Provider Demographics
NPI:1942171210
Name:SCHNEIDER, GRACE MARIE (PNP-PC)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:MARIE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 N 70TH ST
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-3836
Mailing Address - Country:US
Mailing Address - Phone:414-403-5904
Mailing Address - Fax:
Practice Address - Street 1:619 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3839
Practice Address - Country:US
Practice Address - Phone:414-277-8980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI24825930163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse