Basic Information
| Provider Information | |||||||||
| NPI: | 1265680698 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHOENIG | ||||||||
| FirstName: | SUSAN | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | BSN, RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6166 RED RIDGE TRL | ||||||||
| Address2: | |||||||||
| City: | BELLVUE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805125684 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9704169553 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | HARTSHORN HEALTH SERVICES | ||||||||
| Address2: | COLORADO STATE UNIVERSITY CAMPUS | ||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805230001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9704917121 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2008 | ||||||||
| LastUpdateDate: | 08/27/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC1400X | 79095 | CO | Y | Nursing Service Providers | Registered Nurse | College Health |
No ID Information.