Healthcare Provider Details

I. General information

NPI: 1649419375
Provider Name (Legal Business Name): MINDY FRANCES SCHIEBLER R.N., N.A.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2009
Last Update Date: 04/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 NE ST JOHNS RD APT 22
VANCOUVER WA
98661-2537
US

IV. Provider business mailing address

4949 NE ST JOHNS RD APT 22
VANCOUVER WA
98661-2537
US

V. Phone/Fax

Practice location:
  • Phone: 360-314-6896
  • Fax:
Mailing address:
  • Phone: 360-314-6896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number10090529
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN 60071368
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: