Healthcare Provider Details

I. General information

NPI: 1760711253
Provider Name (Legal Business Name): SVETLANA SCHOPP RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2009
Last Update Date: 12/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10121 PINE AVE
TRUCKEE CA
96161-4835
US

IV. Provider business mailing address

10231 SHORE PINE RD
TRUCKEE CA
96161-2151
US

V. Phone/Fax

Practice location:
  • Phone: 530-582-6525
  • Fax:
Mailing address:
  • Phone: 530-582-0948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number524716
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN32820
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: