Healthcare Provider Details

I. General information

NPI: 1134540479
Provider Name (Legal Business Name): STESHA SCHNEIDER NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2014
Last Update Date: 01/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S 48TH ST
LINCOLN NE
68506-1283
US

IV. Provider business mailing address

1600 S 48TH ST
LINCOLN NE
68506-1283
US

V. Phone/Fax

Practice location:
  • Phone: 402-481-7333
  • Fax:
Mailing address:
  • Phone: 402-481-7333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number111567
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number111567
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: