Doctor Name: | JO ELLEN SCHAEFER |
NPI Number: | 1265451264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 740-033 |
Business Practice Address: | 320 Ross Ave Ste 14 Schofield, WI - 544766104 |
Business Phone Number: | 7153598725 |
Business Fax Number: | |
Mailing Address: | 4202 Mountain Ln, WAUSAU |
State: | WI |
Postal Code: | 544018500 |
Phone Number: | 7158488748 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 740-033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |