Healthcare Provider Details

I. General information

NPI: 1114367190
Provider Name (Legal Business Name): DANIEL JUDE SCHNEBELEN MSN, APRN, NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2013
Last Update Date: 07/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14350 LA HIGHWAY 73
PRAIRIEVILLE LA
70769-3617
US

IV. Provider business mailing address

25335 HACKBERRY LN
PLAQUEMINE LA
70764-4507
US

V. Phone/Fax

Practice location:
  • Phone: 225-313-3930
  • Fax: 225-313-3940
Mailing address:
  • Phone: 225-802-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP07371
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: