Healthcare Provider Details

I. General information

NPI: 1588626758
Provider Name (Legal Business Name): RHAE ELLEN NA SCHNOOR R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2348 COUNTY ROAD G
RHINELANDER WI
54501-9270
US

IV. Provider business mailing address

2348 COUNTY ROAD G
RHINELANDER WI
54501-9270
US

V. Phone/Fax

Practice location:
  • Phone: 715-362-7620
  • Fax:
Mailing address:
  • Phone: 715-362-7620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number63717-030
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: