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NPI Code Detail

MEDICARE: BRANDON J SCHAFER APRN, FNP-BC

MEDICARE: BRANDON J SCHAFER APRN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner227225AZ

General Provider Information

NPI Number : 1548042625
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON J SCHAFER APRN, FNP-BC
Provider Business Mailing Address
First Line : 4049 W RUBY WAY
Second Line :
City : SAN TAN VALLEY
State : AZ
Zip : 85144-3875
Country : US
Telephone Number : 480-489-7426
Fax Number :
Provider Business Practice Location Address
First Line : 18555 N 79TH AVE STE E101
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-8392
Country : US
Telephone Number : 602-645-5444
Fax Number : 602-772-3801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2023
Last Update Date : 10/27/2023

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