Healthcare Provider Details

I. General information

NPI: 1710664230
Provider Name (Legal Business Name): CHRISTINE MARIE SCHONEFELD MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 10/28/2023
Certification Date: 10/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 W GROVE ST STE 101
EL DORADO AR
71730-4409
US

IV. Provider business mailing address

115 WRIGHTS ST STE C
HOT SPRINGS NATIONAL PARK AR
71913-6240
US

V. Phone/Fax

Practice location:
  • Phone: 870-862-0801
  • Fax:
Mailing address:
  • Phone: 870-862-0801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0300X
TaxonomyNephrology Registered Nurse
License NumberR108452
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number226434
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: