Healthcare Provider Details

I. General information

NPI: 1942214713
Provider Name (Legal Business Name): BARBARA S SCHAEFER WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 10/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 SHELBYVILLE RD SUITE 107
LOUISVILLE KY
40243-1094
US

IV. Provider business mailing address

12121 SHELBYVILLE RD SUITE 107
LOUISVILLE KY
40243-1094
US

V. Phone/Fax

Practice location:
  • Phone: 502-244-6500
  • Fax: 502-244-6588
Mailing address:
  • Phone: 502-244-6500
  • Fax: 502-244-6588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1059026
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number2457P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: