Healthcare Provider Details

I. General information

NPI: 1497183958
Provider Name (Legal Business Name): NAOMI F SCHLABACH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NAOMI F MILLER SCHLABACH

II. Dates (important events)

Enumeration Date: 10/21/2013
Last Update Date: 10/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5885 IBIS ST
SARASOTA FL
34241-9282
US

IV. Provider business mailing address

PO BOX 7675
SARASOTA FL
34278-7675
US

V. Phone/Fax

Practice location:
  • Phone: 941-685-3589
  • Fax:
Mailing address:
  • Phone: 941-685-3589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number2077502
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: