Provider Demographics
NPI:1114367190
Name:SCHNEBELEN, DANIEL JUDE (MSN, APRN, NP-C)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JUDE
Last Name:SCHNEBELEN
Suffix:
Gender:M
Credentials:MSN, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25335 HACKBERRY LN
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-4507
Mailing Address - Country:US
Mailing Address - Phone:225-802-8080
Mailing Address - Fax:
Practice Address - Street 1:14350 LA HIGHWAY 73
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3617
Practice Address - Country:US
Practice Address - Phone:225-313-3930
Practice Address - Fax:225-313-3940
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07371363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily