Doctor Name: | MRS. STEPHANIE LAUREN SCHATZ |
NPI Number: | 1255748349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, FNP-C |
License Number: | 2014023966 |
Business Practice Address: | 102 Grande Ctr Sullivan, MO - 630801266 |
Business Phone Number: | 5734684455 |
Business Fax Number: | 5734684451 |
Mailing Address: | 160 Killdeer Lane, SULLIVAN |
State: | MO |
Postal Code: | 63080 |
Phone Number: | 5732593598 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2014 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2014023966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |