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NPI Code Detail

MEDICARE: MEREDITH A SCHANDA FNP-BC

MEDICARE: MEREDITH A SCHANDA FNP-BC
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
1163W00000XRegistered NurseRN2277966MA
2363LA2200XAdult Health Nurse PractitionerRN2277966MA
3363LF0000XFamily Nurse PractitionerRN2277966MA
4363LP2300XPrimary Care Nurse PractitionerRN2277966MA
5363LP2300XPrimary Care Nurse PractitionerRN256258GA

General Provider Information

NPI Number : 1801133228
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH A SCHANDA FNP-BC
Provider Business Mailing Address
First Line : 520 GRIFFIN AVE
Second Line :
City : VALDOSTA
State : GA
Zip : 31601-6331
Country : US
Telephone Number : 229-245-0020
Fax Number :
Provider Business Practice Location Address
First Line : 520 GRIFFIN AVE
Second Line :
City : VALDOSTA
State : GA
Zip : 31601-6331
Country : US
Telephone Number : 229-245-0020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2013
Last Update Date : 05/01/2020

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Directions to “ MEREDITH A SCHANDA FNP-BC” Practice Location

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