Provider Demographics
NPI:1699086769
Name:SCHNEIDER, TERRY L (RN, MSN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:TERRY
Middle Name:L
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 E DAILY DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-6076
Mailing Address - Country:US
Mailing Address - Phone:805-256-7810
Mailing Address - Fax:805-256-7840
Practice Address - Street 1:751 E DAILY DR
Practice Address - Street 2:SUITE 120
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6076
Practice Address - Country:US
Practice Address - Phone:805-256-7810
Practice Address - Fax:805-256-7840
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP 19471363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP19471OtherLICENSE
CANP19471OtherLICENSE