Basic Information
| Provider Information | |||||||||
| NPI: | 1093460487 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHNEE | ||||||||
| FirstName: | CANDACE | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | AGNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 346 WEXFORD WAY | ||||||||
| Address2: | |||||||||
| City: | MONROE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450501036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4197968422 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10999 REED HARTMAN HWY STE 215 | ||||||||
| Address2: | |||||||||
| City: | BLUE ASH | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452428301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5137459320 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2022 | ||||||||
| LastUpdateDate: | 02/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LG0600X | CNP.0030752 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.