Provider Demographics
NPI:1851132641
Name:SCHNEIDERMAN, RAENA (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:RAENA
Middle Name:
Last Name:SCHNEIDERMAN
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10571 COLORADO BLVD UNIT E108
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-3965
Mailing Address - Country:US
Mailing Address - Phone:303-598-9296
Mailing Address - Fax:
Practice Address - Street 1:10571 COLORADO BLVD UNIT E108
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-3965
Practice Address - Country:US
Practice Address - Phone:303-598-9296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0999704363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care