Healthcare Provider Details

I. General information

NPI: 1912667452
Provider Name (Legal Business Name): MAIKA SCHNEIDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/25/2021
Last Update Date: 12/25/2021
Certification Date: 12/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5105 LONG MEADOW PL
VIRGINIA BEACH VA
23464-5565
US

IV. Provider business mailing address

5105 LONG MEADOW PL
VIRGINIA BEACH VA
23464-5565
US

V. Phone/Fax

Practice location:
  • Phone: 757-266-9329
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: