Provider Demographics
NPI:1366814105
Name:SCHNACK, JUDITH ANN (RN, FNP)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ANN
Last Name:SCHNACK
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2525 PIO PICO DR STE 301
Mailing Address - Street 2:HOSPICE OF THE NORTH COAST
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1568
Mailing Address - Country:US
Mailing Address - Phone:760-431-4100
Mailing Address - Fax:760-431-4133
Practice Address - Street 1:2525 PIO PICO DR
Practice Address - Street 2:SUITE 301
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1568
Practice Address - Country:US
Practice Address - Phone:760-431-4100
Practice Address - Fax:760-431-4133
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA232871363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner