Healthcare Provider Details

I. General information

NPI: 1477842789
Provider Name (Legal Business Name): HEATHER CECELIA SCHAFER CNM, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. HEATHER CECELIA JOHNSON

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 W NEWBERRY RD STE 111
GAINESVILLE FL
32605-8300
US

IV. Provider business mailing address

6440 W NEWBERRY RD STE 111
GAINESVILLE FL
32605-8300
US

V. Phone/Fax

Practice location:
  • Phone: 352-331-3332
  • Fax: 352-331-3320
Mailing address:
  • Phone: 352-331-3332
  • Fax: 352-331-3320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number710
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN9251205
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: