Healthcare Provider Details

I. General information

NPI: 1427029800
Provider Name (Legal Business Name): TANYA DAWN SCHNELL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TANYA DAWN RIP

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 SHERIDAN AVE
CODY WY
82414-3409
US

IV. Provider business mailing address

PO BOX 1155
BILLINGS MT
59103-1155
US

V. Phone/Fax

Practice location:
  • Phone: 307-587-2139
  • Fax:
Mailing address:
  • Phone: 406-702-1357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberTR015101
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number02003159A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number13678
License Number StateND
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number5758
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: