Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 0024166887 | VA |
NPI | 1235155227 |
---|---|
Provider Name | Ms. Cynthia Schieck |
First Address | Midlothian, VA 23114-3160 |
Second Address | Midlothian, VA 23114-3160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 22/02/2014 |