Provider Demographics
NPI:1285921106
Name:SCHNEIDER, AUTUMN L (RN)
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:L
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4600 MONTGOMERY ROAD
Mailing Address - Street 2:STE 105
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212
Mailing Address - Country:US
Mailing Address - Phone:513-487-5305
Mailing Address - Fax:859-487-5317
Practice Address - Street 1:830 THOMAS MORE PARKWAY
Practice Address - Street 2:STE 202
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017
Practice Address - Country:US
Practice Address - Phone:859-341-6281
Practice Address - Fax:859-341-6281
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2011-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3007111363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health