Healthcare Provider Details

I. General information

NPI: 1083697023
Provider Name (Legal Business Name): CAROL L SCHINDLER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 03/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 WATERFORD PIKE
BROOKVILLE PA
15825-2518
US

IV. Provider business mailing address

PO BOX 35 SUITE 307
BROOKVILLE PA
15825-0035
US

V. Phone/Fax

Practice location:
  • Phone: 814-849-0898
  • Fax:
Mailing address:
  • Phone: 814-938-8263
  • Fax: 866-832-1744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number283602
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: