| Doctor Name: | AMANDA SCHAEFER |
| NPI Number: | 1609240530 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | 0991904 |
| Business Practice Address: | 25797 Conifer Rd Suite B110 Conifer, CO - 804339053 |
| Business Phone Number: | 3038383355 |
| Business Fax Number: | 3038388925 |
| Mailing Address: | 25797 Conifer Rd, Suite B110 CONIFER |
| State: | CO |
| Postal Code: | 804339053 |
| Phone Number: | 3038383355 |
| Fax Number: | 3038388925 |
| NPI Enumeration Date: | 11/16/2015 |
| NPI Last Update Date: | 11/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 0991904 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |