MEDICARE: DARIA M. SCHNEIDMAN-FERNANDEZ N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NP 5701	CA

General Provider Information

NPI Number	:	1346541828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIA M. SCHNEIDMAN-FERNANDEZ N.P.

Provider Business Mailing Address
First Line	:	1038 BRUSH HILL RD
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-4904
Country	:	US
Telephone Number	:	818-519-2072
Fax Number	:	815-461-1264

Provider Business Practice Location Address
First Line	:	32144 AGOURA RD
Second Line	:	SUITE 218
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4031
Country	:	US
Telephone Number	:	818-889-9230
Fax Number	:	818-889-9231

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2010
Last Update Date	:	11/15/2010

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