Provider Demographics
NPI:1285691444
Name:SCHOONOVER, AMY M (CRNP)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:M
Last Name:SCHOONOVER
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:959 WYOMING AVE
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18501-0031
Mailing Address - Country:US
Mailing Address - Phone:570-344-3517
Mailing Address - Fax:570-344-6839
Practice Address - Street 1:959 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18509-3023
Practice Address - Country:US
Practice Address - Phone:570-344-9684
Practice Address - Fax:570-969-0968
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2014-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP008528363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028947820001Medicaid
PA1028947820001Medicaid