Healthcare Provider Details

I. General information

NPI: 1336291350
Provider Name (Legal Business Name): TERESA ANNE SCHNEIDER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 COSHOCTON AVE
MOUNT VERNON OH
43050-1440
US

IV. Provider business mailing address

PO BOX 758705
BALTIMORE MD
21275-0001
US

V. Phone/Fax

Practice location:
  • Phone: 740-393-9000
  • Fax: 904-805-1302
Mailing address:
  • Phone: 904-805-1300
  • Fax: 904-805-1302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number00048
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberNP48
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: