Healthcare Provider Details

I. General information

NPI: 1285692483
Provider Name (Legal Business Name): CHRISTINE M. SCHONOUR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3725 N BUFFALO ST
ORCHARD PARK NY
14127-1853
US

IV. Provider business mailing address

7755 CENTER AVE STE 630
HUNTINGTON BEACH CA
92647-9152
US

V. Phone/Fax

Practice location:
  • Phone: 716-508-4040
  • Fax: 716-508-8038
Mailing address:
  • Phone: 657-237-2450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number328804
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95011485
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: