Basic Information
| Provider Information | |||||||||
| NPI: | 1043879570 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHOONOVER | ||||||||
| FirstName: | ALEXANDRA | ||||||||
| MiddleName: | ROSE | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | APRN-CNP, PMHNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7610 SAWMILL COMMONS LN APT B | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430169131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192043810 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6629 W CENTRAL AVE | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436171098 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4194754449 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2019 | ||||||||
| LastUpdateDate: | 07/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN.446649 | OH | N | Nursing Service Providers | Registered Nurse | 363LP0808X | APRN.CNP.025244 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.