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NPI Code Detail

MEDICARE: NICOLE JOSEPHINE SCHNEIDER

MEDICARE:   NICOLE JOSEPHINE SCHNEIDER
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1366696916
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE JOSEPHINE SCHNEIDER
Provider Business Mailing Address
First Line : 3240 DREDGE DR
Second Line :
City : HELENA
State : MT
Zip : 59602-0548
Country : US
Telephone Number : 406-437-3898
Fax Number :
Provider Business Practice Location Address
First Line : 3240 DREDGE DR
Second Line :
City : HELENA
State : MT
Zip : 59602-0548
Country : US
Telephone Number : 406-437-3898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2008
Last Update Date : 05/01/2014

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Directions to “ NICOLE JOSEPHINE SCHNEIDER ” Practice Location

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