Healthcare Provider Details

I. General information

NPI: 1750861977
Provider Name (Legal Business Name): ANDREA NICOLE B SCHNEIDER ARNP, EAMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANDREA B SCHNEIDER ARNP, EAMP

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19515 N CREEK PKWY STE 202
BOTHELL WA
98011-8200
US

IV. Provider business mailing address

19515 N CREEK PKWY STE 202
BOTHELL WA
98011-8200
US

V. Phone/Fax

Practice location:
  • Phone: 425-949-0204
  • Fax:
Mailing address:
  • Phone: 425-949-0204
  • Fax: 855-936-3250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61479985
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: