Healthcare Provider Details

I. General information

NPI: 1831391564
Provider Name (Legal Business Name): JAN SCHLAIER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 01/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2196 FORESTER WAY
SPRING HILL FL
34606-3706
US

IV. Provider business mailing address

2196 FORESTER WAY
SPRING HILL FL
34606-3706
US

V. Phone/Fax

Practice location:
  • Phone: 352-596-0464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP2941952
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: