Provider Demographics
NPI:1235639295
Name:SCHNEIDER, TIFFANY S
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:S
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32014
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99803-2014
Mailing Address - Country:US
Mailing Address - Phone:907-957-8615
Mailing Address - Fax:833-583-0970
Practice Address - Street 1:9687 MORAINE WAY
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8710
Practice Address - Country:US
Practice Address - Phone:907-957-8615
Practice Address - Fax:833-583-0970
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator