MEDICARE: MARINDA MOORE SCHNEIDER APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	N33890-01	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	898784	NV
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	3013900	KY
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	G189657	IA
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.0997293-NP	CO

General Provider Information

NPI Number	:	1457992570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARINDA MOORE SCHNEIDER APRN

Provider Business Mailing Address
First Line	:	2373 CENTRAL PARK BLVD UNIT 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2373 CENTRAL PARK BLVD UNIT 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2300
Country	:	US
Telephone Number	:	833-351-8255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2019
Last Update Date	:	04/30/2026

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