Healthcare Provider Details

I. General information

NPI: 1356085740
Provider Name (Legal Business Name): BRIANNA JOY SCHNEIDER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2022
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 IMPERIAL HWY
DOWNEY CA
90242-2812
US

IV. Provider business mailing address

1355 N MENTOR AVE PO BOX 41298
PASADENA CA
91104-9998
US

V. Phone/Fax

Practice location:
  • Phone: 909-435-6361
  • Fax:
Mailing address:
  • Phone: 909-435-6361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF10210136
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number95037569
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: