Healthcare Provider Details

I. General information

NPI: 1174777072
Provider Name (Legal Business Name): ANGELA LYDIA SCHAPKER ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2008
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 HEALTHY WAY STE A
EVANSVILLE IN
47715-1180
US

IV. Provider business mailing address

PO BOX 3366
EVANSVILLE IN
47732-3366
US

V. Phone/Fax

Practice location:
  • Phone: 812-868-0530
  • Fax: 812-868-2188
Mailing address:
  • Phone: 128-680-5308
  • Fax: 812-868-2188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number71002773A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71002773A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: