Healthcare Provider Details

I. General information

NPI: 1831467042
Provider Name (Legal Business Name): ANN C SCHOENEWEIS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2011
Last Update Date: 04/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6605 W BROAD ST SUITE A
RICHMOND VA
23230-1714
US

IV. Provider business mailing address

7202 GLEN FOREST DR SUITE 200
RICHMOND VA
23226-3781
US

V. Phone/Fax

Practice location:
  • Phone: 804-287-3000
  • Fax: 804-285-6337
Mailing address:
  • Phone: 804-673-0134
  • Fax: 804-673-1796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024169641
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number0001096115
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: