Healthcare Provider Details

I. General information

NPI: 1013961937
Provider Name (Legal Business Name): CLARICE J. SCHUYLER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 WINDY HILL RD SE 115
MARIETTA GA
30067-8665
US

IV. Provider business mailing address

1125 TUXEDO DR
ROSWELL GA
30075-3920
US

V. Phone/Fax

Practice location:
  • Phone: 770-980-1818
  • Fax: 770-980-1873
Mailing address:
  • Phone: 770-980-1818
  • Fax: 770-980-1873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number046697
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN046697 NP
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: