Basic Information
| Provider Information | |||||||||
| NPI: | 1427603356 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHNAUBER | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | RENEE | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2421 INGLEWOOD DR | ||||||||
| Address2: | |||||||||
| City: | WHITE OAK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151313116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6143640921 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 HAZEL LN FL 1 | ||||||||
| Address2: | |||||||||
| City: | SEWICKLEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151431249 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4127496816 | ||||||||
| FaxNumber: | 4127496819 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2019 | ||||||||
| LastUpdateDate: | 08/07/2019 | ||||||||
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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 | 363LF0000X | SP020601 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.