Basic Information
| Provider Information | |||||||||
| NPI: | 1588336838 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHNELLE | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | ESTHER | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | CNS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6280 MCNEIL DR APT 802 | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787296909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2489906065 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4681 COLLEGE PARK DR | ||||||||
| Address2: | |||||||||
| City: | ROUND ROCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786651526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5126711100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2021 | ||||||||
| LastUpdateDate: | 12/09/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364S00000X | 1052209 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | 363LA2200X | 1052209 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.